ADAM TODD NICKEL

TACOMA, WA
NPI1053604819
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207VX0000X Obstetrics & Gynecology, Obstetrics
(Licence: WA  op60274656)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: OH  58.003060)
Enumeration Date2011-05-26
Last Update Date2012-09-07
Business Address
-- ADAM TODD NICKEL DO
222 N J ST
TACOMA, WA 98403-1984
Phone number: 253-572-4664
Mailing Address
-- ADAM TODD NICKEL DO
222 N J ST
TACOMA, WA 98403-1984
Phone number: