MR. NICHOLAS CHRIS RETSON MD
Surgery Yellow Pages
Merrillville, Indiana
Provider NPI: 1417020504
Provider Information:MR. NICHOLAS CHRIS RETSON MD
Practice Location:
8053 CLEVELAND PL MERRILLVILLE, IN 46410 US
Tel: 219-769-4456 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 208200000X | Physicians Plastic Surgery | IN | 01026350 |
N | 2082S0105X | Physicians Plastic Surgery | IN | 01026350 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ANTHEM | 0000000184599 | IN | 01 |
100339140A | IN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin