Individual provider · Type 1 NPI

Jonathan W. Surdam, MD

Specialist · Bloomington, IN

NPI number 1124009287 Active

Practice location

1302 S Rogers St
Bloomington, IN 47403-4752

Call (812) 333-2663 Map

Fax (812) 676-4131

Mailing address

583 S Clarizz Blvd
Bloomington, IN 47401-5515

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X01058877 (IN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1124009287

Jonathan W. Surdam, MD's National Provider Identifier is 1124009287, issued on Nov 7, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bloomington, IN. The record was last updated on Dec 23, 2020.