TIMOTHY NICKELL, PAC
Physician Assistant
Active
Individual
NPI: 1346516044
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | 2892-23 (WI) |
| Physician Assistant | 363A00000X | Yes | 2892 (WI) |
Frequently Asked Questions
NPI 1346516044 is the National Provider Identifier for TIMOTHY NICKELL, PAC, a Physician Assistant provider located in Rice Lake, WI. This NPI was enumerated on March 27, 2012.
TIMOTHY NICKELL, PAC practices at 331 S MAIN ST, Rice Lake, WI 54868.
Quick Facts
- NPI
- 1346516044
- Type
- Individual
- Enumerated
- Mar 27, 2012
- Last Updated
- Feb 3, 2021
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