Individual
DR. BONNIE JOHNG NICKLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 421-3038
Mailing address
7816 DORVER AVE, CLEVELAND, OH 44105-5842
(216) 441-5523
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36 002263
OH
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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