Individual
NICHOLAS ABEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 W EDISON RD STE 110, MISHAWAKA, IN 46545-2784
(574) 258-1100
Mailing address
217 APPLE TREE LN, WAKARUSA, IN 46573-9702
(248) 885-9835
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301094674
MI
2085R0202X
Diagnostic Radiology Physician
01074601A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
4301094674
MI
Other
Enumeration date
07/17/2009
Last updated
06/11/2015
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