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Individual

NIKOLA BICAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1837 RIPLEY RD, RIPLEY, WV 25271-5113
(304) 372-3788
(304) 372-1513
Mailing address
PO BOX 796, RIPLEY, WV 25271-0796
(304) 372-3788

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
307
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0099957000
WV
Enumeration date
06/21/2005
Last updated
06/12/2024
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