Provider Demographics
NPI:1144210337
Name:SLIGAR, WILLIAM MUDGE (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MUDGE
Last Name:SLIGAR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4130 DUTCHMANS LN
Mailing Address - Street 2:STE 300
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4713
Mailing Address - Country:US
Mailing Address - Phone:502-897-1794
Mailing Address - Fax:502-238-1286
Practice Address - Street 1:3605 NORTHGATE CT STE 207
Practice Address - Street 2:BLDG: NORTHGATE MEDICAL CENTER
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-6422
Practice Address - Country:US
Practice Address - Phone:502-897-1794
Practice Address - Fax:502-238-1286
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2016-01-11
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Provider Licenses
StateLicense IDTaxonomies
IN29128207X00000X
KY20278207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100074990Medicaid
B29733Medicare UPIN
IN122180BMedicare PIN
IN100074990Medicaid
IN0416850001Medicare NSC
ININ1920017Medicare PIN