NPI 1790707966

Robert J Nickodem, MD

Practitioner Orthopaedic Surgery Physician Mentor, OH

Practice location

Address: 7060 Wayside Dr Mtr1/-102, Mentor, OH 44060-6527
Phone: (440) 357-2770
Fax: (440) 354-4669

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 35-05-1872-N (OH)

Other Orthopaedic Surgery providers in Ohio →

Registry record

NPI: 1790707966
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2006
Record last updated: 5 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.