Individual
DANIEL ALAN NIKCEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
45075
MN
207RX0202X
Medical Oncology Physician
45075
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085485900
—
MN
05
—
34258700
—
WI
Enumeration date
07/04/2006
Last updated
05/09/2011
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