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Adam Nicodemus
NPI 1245648930 · on the registry since 2014
Practice
- Address
- 2400 N 450 W
Columbia City, IN 46725 - Phone
- (260) 239-5177
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana