Individual
DR. NICOLAS TIVA KUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.-PH.D.
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD60662907
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2011
Last updated
06/24/2016
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