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

DR. WENDELL ALLAN NICKERSON, D.O.

Active

DR. WENDELL ALLAN NICKERSON, D.O. is a Family Medicine healthcare provider located in SHELBINA, Missouri. NPI 1437249588 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SHELBINA, MO

Registration Details

NPI Number
1437249588
Provider Type
Individual
Gender
Male
NPI Issued
Oct 12, 2006 (19.840060184906 yrs)
Last Updated
Jan 15, 2019
License
R9E45 (MO)

Practice Information

Address
400 S CENTER ST
SHELBINA, MO, 634681404
Browse MO providers · Browse ZIP 63468
Phone
5735884131
Fax
5735886602
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in SHELBINA, MO

Name Credential NPI
DR. DAVID F. OUELLETTE M.D. 1093794588
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.