Individual
MR. TIMOTHY DEAN NIKKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5011 MORNINGSIDE AVE, SIOUX CITY, IA 51106-3027
(712) 224-4722
(186) 635-8636
Mailing address
5011 MORNINGSIDE AVE., SIOUX CITY, IA 51106-3027
(712) 224-4722
(186) 635-8636
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
882ZZ1895
IA
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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