Search › Ohio › 207L00000X
Ryan Nicklas, MD
NPI 1770075533 · on the registry since 2018
Practice
- Address
- 4881 Sugar Maple Dr
Wpafb, OH 45433 - Phone
- (376) 302-1619
- Clinicians at this address
- 170
Additional practice sites
- 3535 Pentagon Blvd, Beavercreek, OH
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Also registered as
- 207L00000X
207L00000X - Licence states on file
- PA, GA, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-19
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 Ohio