LIEM NICKELSON, A.A.
Anesthesiologist Assistant
Active
Individual
NPI: 1760764138
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | Yes | 2011030647 (MO) |
Frequently Asked Questions
NPI 1760764138 is the National Provider Identifier for LIEM NICKELSON, A.A., a Anesthesiologist Assistant provider located in Saint Louis, MO. This NPI was enumerated on September 12, 2011.
LIEM NICKELSON, A.A. practices at 3635 VISTA AVE, Saint Louis, MO 63110.
Quick Facts
- NPI
- 1760764138
- Type
- Individual
- Enumerated
- Sep 12, 2011
- Last Updated
- Feb 21, 2017
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