Organization
RETSON PLASTIC SURGERYPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS C RETSON M.D. (PROPRIETOR)
(219) 769-4456
Entity
Organization
Contact information
Practice address
8053 CLEVELAND PL, MERRILLVILLE, IN 46410-5303
(219) 769-4456
(219) 769-1468
Mailing address
8053 CLEVELAND PL, MERRILLVILLE, IN 46410-5303
(219) 769-4456
(219) 769-1468
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100339140
—
IN
Enumeration date
11/11/2007
Last updated
08/14/2009
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