Individual
DEAN JOHN NICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5800 HOLLIS ST, EMERYVILLE, CA 94608-2016
(510) 806-2100
(510) 806-2548
Mailing address
5800 HOLLIS ST, EMERYVILLE, CA 94608-2016
(510) 806-2100
(510) 806-2548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G44039
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G44039
CA
Other
Enumeration date
03/21/2006
Last updated
04/22/2024
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