Individual
DR. NELSON NICOLASORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 CHERRY ST, SUITE 1400, TOLEDO, OH 43608-2673
(419) 251-4787
(419) 251-7817
Mailing address
2222 CHERRY ST, SUITE 1400, TOLEDO, OH 43608-2673
(419) 251-4787
(419) 251-7817
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301088708
MI
207RI0200X
Infectious Disease Physician
Primary
35091813
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2853907
—
OH
Enumeration date
03/26/2007
Last updated
10/17/2012
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