Individual
DR. MICHAEL BRUCE NICHOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-8454
(573) 884-6054
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2009018162
MO
208600000X
Surgery Physician
A94797
CA
2086X0206X
Surgical Oncology Physician
Primary
2009018162
MO
2086X0206X
Surgical Oncology Physician
A94797
CA
Other
Enumeration date
02/12/2007
Last updated
04/11/2013
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