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Nicholas Countryman, M.D
NPI 1538327309 · on the registry since 2008 · sole proprietor
Practice
- Address
- 7910 N Shadeland Ave
Indianapolis, IN 46250 - Phone
- (317) 516-5000
- Fax
- (317) 516-5146
- Organisation at this address
- Dawes Fretzin Dermatology Group, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- Dermatology Physician
207N00000X
- Also registered as
- Dermatology Physician
MOHS-Micrographic Surgery Physician
MOHS-Micrographic Surgery Physician - Licence states on file
- NC, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana