Individual
MS. JUDITH GARLOUGH NICKRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 CRESCENT DR, TROY, OH 45373-2718
(937) 339-3838
(937) 335-1232
Mailing address
530 CRESCENT DR, TROY, OH 45373-2718
(937) 339-3838
(937) 335-1232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35036285N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0384230
—
OH
Enumeration date
07/19/2005
Last updated
10/04/2011
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