Individual
NICHOLAS ALEXANDER WIDGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4101 JOHN DEERE RD, MOLINE, IL 61265-9951
(309) 762-5433
Mailing address
2323 8TH ST, SILVIS, IL 61282-2804
(563) 650-4371
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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