Individual
MR. MICHAEL CRAIG MCNICOL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MIKE MCNICOL
Contact information
Practice address
314 GRANVILLE ST, NEWARK, OH 43055-4483
(740) 328-2228
Mailing address
865 JONATHAN LN, NEWARK, OH 43055-1733
(740) 364-0396
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OH
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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