DR. Bonnie Johng Nicklas, DPM

NPI #1083785208 in Cleveland, Ohio

Provider Information

NPI Number: 1083785208
Entity Type: Individual
Name: DR. Bonnie Johng Nicklas, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Nov 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 10701 EAST BLVD
City: Cleveland
State: Ohio
ZIP Code: 44106-1702
Phone: (216) 791-3800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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