Individual
GARRETT NICHOLAS UNGERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5177 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
(765) 838-4758
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01099578A
IN
208800000X
Urology Physician
30665
MN
208800000X
Urology Physician
69687
MN
208800000X
Urology Physician
85915-20
WI
363AM0700X
Medical Physician Assistant
2012005136
MO
363AS0400X
Surgical Physician Assistant
2012005136
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300133019
—
IN
Enumeration date
03/29/2012
Last updated
08/14/2026
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