NICHOLAS THEODORE SEVERYN

INDIANAPOLIS, IN
NPI1366897605
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: IN  02005617A)
Additional Taxonomies2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: KY  TP779)
Enumeration Date2016-04-24
Last Update Date2022-06-08
Business Address
NICHOLAS THEODORE SEVERYN DO
699 RILEY HOSPITAL DRIVE RR 208
INDIANAPOLIS, IN 46202-5119
Phone number: 317-274-4716
Mailing Address
NICHOLAS THEODORE SEVERYN DO
699 RILEY HOSPITAL DRIVE RR 208
INDIANAPOLIS, IN 46202-5119
Phone number: 317-274-4716