Individual
DR. MICHAEL STEPHEN NICKOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 MORRIS RD, CIRCLEVILLE, OH 43113-1362
(740) 477-6511
(740) 477-6888
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
(614) 533-6497
(614) 544-6370
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
125061743
IL
207X00000X
Orthopaedic Surgery Physician
Primary
35.133935
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0310959
—
OH
Enumeration date
06/18/2012
Last updated
01/25/2022
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