Timothy P Nickell, PAC
NPI #1346516044 in Rice Lake, Wisconsin
Provider Information
- NPI Number
- 1346516044
- Entity Type
- Individual
- Name
- Timothy P Nickell, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- Mar 27, 2012
- Last Updated
- Feb 3, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant |
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