Individual
CHRISTOPHER NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1223 S GEAR AVE, SUITE #202, WEST BURLINGTON, IA 52655-1682
(319) 768-4350
Mailing address
1223 S GEAR AVE, SUITE #202, WEST BURLINGTON, IA 52655-1682
(319) 768-4350
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD34345
IA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036112938
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112938
—
IL
Enumeration date
10/13/2006
Last updated
02/02/2017
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