Individual
MICHAEL NICKASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11116 MEDICAL CAMPUS RD STE 2989, HAGERSTOWN, MD 21742-6710
(301) 766-7600
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 766-7600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D92084
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
08/19/2021
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