Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN W SURDAM, M.D.
ActiveSpecialist · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1124009287
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2005 (20.473680684944 yrs)
- Last Updated
- Dec 23, 2020
- License
-
01058877 (IN)
Practice Information
- Address
-
1302 S ROGERS STBLOOMINGTON, IN, 474034752Browse IN providers · Browse ZIP 47403
- Phone
- 8123332663
- Fax
- 8126764131
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in BLOOMINGTON, IN
| Name | Credential | NPI |
|---|---|---|
| MR. TIM C GARL | LATC | 1730174194 |
| MARSHALL M. POOR | M.D. | 1164405643 |
| SOUHEIL F. HADDAD | M.D. | 1659355931 |
| LISA MARIE WEILER | MD | 1427033778 |
| DR. BRIAN HAROLD MOORE | M.D. | 1871554527 |
| DR. JAMIE CAROL BALES | M.D. | 1407817158 |
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.