NPI Details | |
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NPI | 1063409852 |
Gender | Male |
Enumeration Date | 10/05/2005 |
Last Updated | 02/29/2012 |
Entity Type | Individual |
Active | Over 12 years ago |
Practice Location | |
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1244 WISCONSIN AVE SUITE 303 RACINE WI, 53403-1987, US |
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Phone | (262) 635-5520 |
Fax | (262) 635-5530 |
Business Location | |
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1244 WISCONSIN AVE SUITE 303 RACINE WI, 53403-1987, US |
|
Phone | (262) 635-5520 |
Fax | (262) 635-5530 |
Toxanomy | |
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Taxonomy Code | 103TC1900X |
License State | Wisconsin |
License Number | 943-057 |
Remove 1063409852 NPI Number |
According to our database, David L Nichols PHD NPI is 1063409852, taxonomy code is 103TC1900X and license number is 943-057, license state is located at Wisconsin. David L Nichols PHD physically located at 1244 Wisconsin Ave, Racine WI, 53403-1987. NPI Number David L Nichols PHD has the Individual type.
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1063409852 NPI number is provided on an as is basis without warranty of any kind. 1063409852 is maintained by the National Plan & Provider Enumeration System. The contents of David L Nichols PHD are for informational purposes only.
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