Individual
NICO RENZO DEL PICCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 S LAKE PARK AVE STE 202, HOBART, IN 46342-6791
(219) 947-6690
(219) 947-6125
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01088380A
IN
208600000X
Surgery Physician
STUDENT
FL
208600000X
Surgery Physician
TRN25320
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2017
Last updated
08/18/2022
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