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Timothy Nickell, PAC
NPI 1346516044 · on the registry since 2012
Practice
- Address
- 331 S Main St
Rice Lake, WI 54868 - Phone
- (715) 236-8500
- Clinicians at this address
- 15
Additional practice sites
- 265 Griffin St E, Amery, WI
- 200 1st St Sw, Rochester, MN
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Medical Physician Assistant
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-03
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 Wisconsin