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Individual

DONALD R NICHOLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2410 GREENVIEW DR, UNIONTOWN, OH 44685-7885
(330) 958-3429
(330) 896-5662
Mailing address
2410 GREENVIEW DR, UNIONTOWN, OH 44685-7885
(330) 958-3429
(330) 896-5662

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-002461
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0678717
OH
Enumeration date
03/21/2010
Last updated
03/21/2010
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