Robert J Nickodem JR., M.D.

NPI #1790707966 in Mentor, Ohio

Provider Information

NPI Number: 1790707966
Entity Type: Individual
Name: Robert J Nickodem JR., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: M.D.
Enumeration Date: Jul 24, 2006
Last Updated: Feb 5, 2013

Practice Location

Address: 7060 WAYSIDE DR
Address 2: MTR1/-102
City: Mentor
State: Ohio
ZIP Code: 44060-6527
Phone: (440) 357-2770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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