RICHARD NICCUM, MD

Emergency Medicine

Active Individual
NPI: 1417907122

Practice Address

2121 LAKE AVE
Fort Wayne, IN 46805

Phone: (260) 426-5431

Specialties

Specialty Code Primary License
Emergency Medicine 207P00000X Yes 01037769A (IN)

Frequently Asked Questions

NPI 1417907122 is the National Provider Identifier for RICHARD NICCUM, MD, a Emergency Medicine provider located in Fort Wayne, IN. This NPI was enumerated on May 11, 2006.
RICHARD NICCUM, MD practices at 2121 LAKE AVE, Fort Wayne, IN 46805.

Quick Facts

NPI
1417907122
Type
Individual
Enumerated
May 11, 2006
Last Updated
May 22, 2013

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