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Organization
GARY W NICKEL, MD
Active
Organization
GARY W NICKEL, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY WAYNE NICKEL MD (PHYSICIAN)
(253) 572-4664
Entity
Organization
Contact information
Practice address
222 N J ST, SUITE A, TACOMA, WA 98403-1984
(253) 572-4664
(253) 591-0097
Mailing address
222 N J ST, SUITE A, TACOMA, WA 98403-1984
(253) 572-4664
(253) 591-0097
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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