Individual
FREDERICK R NUSBICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
GA031805
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000398538A
PEACH STATE
GA
05
—
000398538A
—
GA
01
—
200009782
RAIL ROAD MEDICARE
GA
01
—
344368
WELLCARE
GA
Enumeration date
02/07/2006
Last updated
05/27/2008
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