Individual
MICHAEL R NILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
272 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 668-8101
(419) 660-2686
Mailing address
272 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 668-8101
(419) 660-2686
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.065471
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000490582
ANTHEM
OH
01
—
000000696939
ANTHEM
OH
05
—
2190294
—
OH
05
—
3004040000
—
WV
01
—
P00343382
RRMCR
OH
Enumeration date
06/06/2006
Last updated
07/01/2015
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