RICHARD K NICCUM

FORT WAYNE, IN
NPI1417907122
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IN  01037769A)
Enumeration Date2006-05-11
Last Update Date2013-05-22
Business Address
-- RICHARD K NICCUM MD
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
-- RICHARD K NICCUM MD
3460 N STATE ROAD 109
COLUMBIA CITY, IN 46725-8953
Phone number: 260-229-1714
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