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Individual
MICHAEL CARL NICOSON
Active
Individual
MICHAEL CARL NICOSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
01074143A
IN
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
47277
KY
Other
Enumeration date
06/19/2007
Last updated
01/08/2015
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