Individual
NICOLAS ADRIAN BRICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 DELEWARE ST SE, MINNEAPOLIS, MN 55455
(612) 624-8600
Mailing address
17700 SE 12TH DR, VANCOUVER, WA 98683-5502
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
D15122
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2024
Last updated
08/04/2024
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