Individual
ADAM TODD NICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
222 N J ST, TACOMA, WA 98403-1984
(253) 572-4664
Mailing address
222 N J ST, TACOMA, WA 98403-1984
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
58.003060
OH
207VX0000X
Obstetrics Physician
Primary
OP60274656
WA
Other
Enumeration date
05/26/2011
Last updated
09/07/2012
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