DAVID ERNEST NICCUM

ST. PAUL, MN
NPI1316110869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: MN  56658)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2008-04-04
Last Update Date2018-03-17
Business Address
Dr. DAVID ERNEST NICCUM M.D.
640 JACKSON ST MS 11502B
ST. PAUL, MN 55101-2502
Phone number: 651-254-3135
Mailing Address
Dr. DAVID ERNEST NICCUM M.D.
8170 33RD AVE S MS 21110Q
MINNEAPOLIS, MN 55425-0341
Phone number: