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Individual

DR. NICK J MULCHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
272 BENEDICT AVENUE, NORWALK, OH 44857-2374
(419) 668-8101
Mailing address
3180 KETTERING BOULEVARD, DAYTON, OH 45439-1924
(937) 293-0247
(937) 293-0960

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34001969M
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000325128
ANTHEM
OH
05
0170774
OH
01
4079411
AETNA
OH
01
P00068806
RAILROAD MEDICARE
OH
Enumeration date
08/31/2006
Last updated
07/08/2007
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