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Individual

DR. MICHAEL EDWARD NICKAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
20055 LAKE CHABOT RD, #100, CASTRO VALLEY, CA 94546-5331
(510) 889-0270
(510) 889-8954
Mailing address
20055 LAKE CHABOT RD, #100, CASTRO VALLEY, CA 94546-5331
(510) 889-0270
(510) 889-8954

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G70673
CA

Other

Enumeration date
10/21/2005
Last updated
07/23/2007
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