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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DOUGLAS JOHN LADIKA, PA-C

Active

MR. DOUGLAS JOHN LADIKA, PA-C is a Medical Physician Assistant healthcare provider located in THORNTOWN, Indiana. NPI 1104076769 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · THORNTOWN, IN

Registration Details

NPI Number
1104076769
Provider Type
Individual
Gender
Male
NPI Issued
Sep 19, 2008 (17.885002135693 yrs)
Last Updated
Apr 28, 2021
License
10000987A (IN)

Practice Information

Address
151 E BOW ST
THORNTOWN, IN, 46071
Browse IN providers · Browse ZIP 46071
Phone
7654362400
Fax
7654367375
Primary Specialty
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.