Adam Nicodemus

NPI #1245648930 in Columbia City, Indiana

Provider Information

NPI Number: 1245648930
Entity Type: Individual
Name: Adam Nicodemus
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 26, 2014
Last Updated: Jul 26, 2014

Practice Location

Address: 2400 N 450 W
City: Columbia City
State: Indiana
ZIP Code: 46725-9141
Phone: (260) 239-5177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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