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Individual

DR. NICHOLAS JAMES MINISSALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
12100 BLACK SWAN DR STE 201, LEWES, DE 19958-4991
(302) 644-3311
(302) 644-3300
Mailing address
550 17TH AVE STE 500, SEATTLE, WA 98122-5789
(206) 320-2451

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
C2-0024693
DE

Other

Enumeration date
06/25/2019
Last updated
08/10/2025
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