Individual
MR. JOSEPH EDDY NICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HIGHWAY 75/77, WINNEBAGO, NE 68071
(402) 878-2231
Mailing address
4832 SUNNYBROOK DR, SIOUX CITY, IA 51106
(712) 274-7932
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15143
NE
207R00000X
Internal Medicine Physician
27333
IA
Other
Enumeration date
03/08/2006
Last updated
03/12/2013
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