Individual
MICHAEL R NILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACS
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
Update your record
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