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Individual

DR. TRAVIS J NICKELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
3148 W 139TH ST, CLEVELAND, OH 44111-1542
(440) 725-9588

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.121425
OH

Other

Enumeration date
07/01/2010
Last updated
07/10/2014
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