| NPI | 1376826925 |
|---|---|
| Professional Name | DAVE NICKELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: OH 003357) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 003357) |
| 363AM0700X Physician Assistant Medical (Licence: OH 003357) | |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2021-01-07 |