NICHOLAS MICHAEL

WALLA WALLA, WA
NPI1891172409
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: WA  OP61466777)
Additional Taxonomies208600000X Surgery
(Licence: WV  3592)
Enumeration Date2015-05-04
Last Update Date2023-10-25
Business Address
NICHOLAS MICHAEL DO
380 CHASE AVE
WALLA WALLA, WA 99362-2924
Phone number: 509-897-3790
Mailing Address
NICHOLAS MICHAEL DO
380 CHASE AVE
WALLA WALLA, WA 99362-2924
Phone number: 509-897-2299
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