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1720107824
NICHOLAS LEE NUSSBAUM
MONROE, IN
NPI
1720107824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01063067A)
Enumeration Date
2007-03-28
Last Update Date
2012-01-27
Business Address
Dr. NICHOLAS LEE NUSSBAUM M.D.
205 TOWER DR
MONROE, IN 46772-9362
Phone number: 260-692-6163
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Mailing Address
Dr. NICHOLAS LEE NUSSBAUM M.D.
205 TOWER DR
MONROE, IN 46772-9362
Phone number: 260-692-6163
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