Individual
MRS. NICOLE RENEE ZULKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7120 CLEARVISTA DR, SUITE 1500, INDIANAPOLIS, IN 46256-1621
(317) 621-9292
(317) 621-9299
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01067400A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201064020
—
IN
01
—
P01157064
MEDICARE RR
IN
Enumeration date
04/03/2008
Last updated
11/27/2023
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