Individual
DR. PAUL EDWIN NICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2407 S BELVOIR BLVD, UNIVERSITY HEIGHTS, OH 44118-4650
(216) 381-8021
Mailing address
2407 S BELVOIR BLVD, UNIVERSITY HEIGHTS, OH 44118-4650
(216) 381-8021
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35037927
OH
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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