Individual
NICHOLAS L FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
326 N SAWYER RD, KENDALLVILLE, IN 46755-2573
(260) 349-9166
(260) 349-9175
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005734A
IN
207Q00000X
Family Medicine Physician
11020170A
IN
Other
Enumeration date
06/20/2018
Last updated
10/11/2022
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