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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMOTHY P NICKELL, PAC

Active

TIMOTHY P NICKELL, PAC is a Physician Assistant healthcare provider located in RICE LAKE, Wisconsin. NPI 1346516044 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · RICE LAKE, WI

Registration Details

NPI Number
1346516044
Provider Type
Individual
Gender
Male
NPI Issued
Mar 27, 2012 (14.361086133098 yrs)
Last Updated
Feb 3, 2021
Licenses
2892-23 (WI)
2892 (WI)

Practice Information

Address
331 S MAIN ST
RICE LAKE, WI, 548682253
Browse WI providers · Browse ZIP 54868
Phone
7152368500
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in RICE LAKE, WI

Name Credential NPI
LAURA K SCHMID-TYLER P.A.-C 1851377444
JANAAN M. DUELLMAN PA-C 1235104928
BEVERLY A. KIMBALL PA-C 1245293463
MS. KAY LOREE CASE PA-C 1457305781
SARAH TOMESH PAC 1073625422
ANTHONY D BERGMANN PAC 1184723504
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.