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Mr. Douglas John Ladika, PA-C
Medical Physician Assistant in Thorntown, Indiana
NPI 1104076769

Douglas John Ladika is a Medical Physician Assistant based in Lebanon, IN and is specialized in Medical. Douglas John Ladika practices in Thorntown, IN and has the professional credentials of PA-C. The NPI Number for Douglas John Ladika is 1104076769 and holds a License No. 10000987A (Indiana).

The current practice location address for Douglas John Ladika is 151 E Bow St, Thorntown, IN and can be reached out via phone at 765-436-2400 and via fax at 765-436-7375.

Location: 151 E Bow St, Thorntown, IN, 46052-8622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104076769
Provider Name
Douglas John Ladika
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
151 E Bow St, Thorntown, IN, 46052-8622
Phone Number
765-436-2400
Fax Number
765-436-7375
Provider Enumeration Date
09/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300004507 05 IN
institution
Provider Business Practice Location Address Details
Address
151 E Bow St
City
Thorntown
State
Indiana
Zip
46071
Phone Number
765-436-2400
Fax Number
765-436-7375
person
Provider Business Mailing Address Details
Address
151 E Bow St
City
Thorntown
State
Indiana
Zip
46071
Phone Number
765-436-2400
Fax Number
765-436-7375
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
10000987A (Indiana)
Definition
Definition to come...
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