Individual
NICKLAUS CARROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3841 NAVARRE AVE, OREGON, OH 43616-3435
(419) 696-8132
(419) 691-2061
Mailing address
3841 NAVARRE AVE, OREGON, OH 43616-3435
(419) 691-2061
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.153718
OH
Other
Enumeration date
05/03/2022
Last updated
08/07/2025
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