Individual
DAVID M NIBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 N WEST ST, ODON, IN 47562-1032
(812) 295-5095
(812) 257-7553
Mailing address
PO BOX 760, WASHINGTON, IN 47501-0760
(812) 254-7310
(812) 257-7553
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01043100A
IN
208D00000X
General Practice Physician
01043100A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000644031
ANTHEM
IN
Enumeration date
09/01/2006
Last updated
04/20/2023
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