Individual
DOUG NICKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 N 7TH ST, BISMARCK, ND 58501-4417
(605) 848-2853
Mailing address
225 N 7TH ST, BISMARCK, ND 58501-4417
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
752-17
ND
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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