IAN ALEXANDER NICCUM

APPLETON, WI
NPI1497481063
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: WI  6000061-15)
Enumeration Date2022-07-26
Last Update Date2025-04-14
Business Address
DR. IAN ALEXANDER NICCUM DMD
W6261 NEUBERT RD
APPLETON, WI 54913
Phone number: 920-954-1110
Mailing Address
DR. IAN ALEXANDER NICCUM DMD
W7030 BLUEBLUFF WAY
GREENVILLE, WI 54942-9783
Phone number: 217-722-1737
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