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Individual

DR. ADAM HAILES NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1210 W 18TH ST, SUITE G01, SIOUX FALLS, SD 57104-4647
(605) 328-2663
(605) 328-3760
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-2663
(605) 328-3760

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
2055
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
225
SD
213ES0103X
Foot & Ankle Surgery Podiatrist
922
MN

Other

Enumeration date
04/19/2013
Last updated
01/05/2015
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