Individual
NIKOLAJS PERDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6820 PARKDALE PL STE 211, INDIANAPOLIS, IN 46254-6600
(317) 329-7050
Mailing address
6820 PARKDALE PL STE 211, INDIANAPOLIS, IN 46254-6600
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01080087A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11017590A
IN
Other
Enumeration date
05/19/2014
Last updated
05/01/2018
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