DR. Wendell Allan Nickerson, D.O.

NPI #1437249588 in Shelbina, Missouri

Provider Information

NPI Number: 1437249588
Entity Type: Individual
Name: DR. Wendell Allan Nickerson, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Oct 12, 2006
Last Updated: Jan 15, 2019

Practice Location

Address: 400 S CENTER ST
City: Shelbina
State: Missouri
ZIP Code: 63468-1404
Phone: (573) 588-4131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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