Individual
NICANOR P SAN NICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
218 STERN RD, SEAMAN, OH 45679-9607
(937) 386-1379
(937) 386-0129
Mailing address
424 WARDS CORNER RD STE 200, LOVELAND, OH 45140-6966
(513) 707-4041
(513) 576-1020
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35079956
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2260708
—
OH
Enumeration date
01/18/2006
Last updated
09/10/2020
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