Provider Demographics
NPI:1649579939
Name:AARDSMA, NATHAN ALAN (DO)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:ALAN
Last Name:AARDSMA
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Gender:M
Credentials:DO
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Mailing Address - Street 1:5700 SOUTHWYCK BLVD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-1509
Mailing Address - Country:US
Mailing Address - Phone:800-288-8325
Mailing Address - Fax:419-866-5453
Practice Address - Street 1:24 JOLIET ST
Practice Address - Street 2:
Practice Address - City:DYER
Practice Address - State:IN
Practice Address - Zip Code:46311-1705
Practice Address - Country:US
Practice Address - Phone:219-865-2141
Practice Address - Fax:219-864-2136
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2024-01-23
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Provider Licenses
StateLicense IDTaxonomies
IL036.137383207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology