Individual
DR. NICOLAS M SANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1479 E 84TH PL, MERRILLVILLE, IN 46410-6451
(219) 738-2828
(219) 756-3349
Mailing address
1479 E 84TH PL, MERRILLVILLE, IN 46410-6451
(219) 738-2828
(219) 756-3349
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01058167A
IN
208600000X
Surgery Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021606444
BLUECROSSBLUESHIELD
IL
Enumeration date
12/18/2006
Last updated
07/08/2007
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