NICO MOUSDICAS

CARMEL, IN
NPI1144238650
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: IN  01061689A)
Enumeration Date2006-08-03
Last Update Date2014-02-18
Business Address
-- NICO MOUSDICAS MD
755 W CARMEL DR SUITE 101
CARMEL, IN 46032-5877
Phone number: 317-846-2396
Mailing Address
-- NICO MOUSDICAS MD
250 N SHADELAND AVE STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number:
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