Individual
DR. DONALD A. NICKLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2865 RINGNECK RD, AUDUBON, PA 19403-1812
(610) 539-0549
Mailing address
2865 RINGNECK RD, AUDUBON, PA 19403-1812
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD015583E
PA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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