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Gary L Nicholson, MD
Hematology & Oncology Physician in Kettering, Ohio
NPI 1407806474

Gary L Nicholson is a Hematology & Oncology Physician based in Kettering, OH and is specialized in Hematology & Oncology. Gary L Nicholson practices in Kettering, OH and has the professional credentials of MD. The NPI Number for Gary L Nicholson is 1407806474 and holds a License No. 35034705 (Ohio).

The current practice location address for Gary L Nicholson is 3120 Governors Place Blvd, Kettering, OH and can be reached out via phone at 937-293-1622.

Location: 3120 Governors Place Blvd, Kettering, OH, 45440-2621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407806474
Provider Name
Gary L Nicholson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3120 Governors Place Blvd, Kettering, OH, 45440-2621
Phone Number
937-293-1622
Fax Number
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0330270 05 OH
institution
Provider Business Practice Location Address Details
Address
3120 Governors Place Blvd
City
Kettering
State
Ohio
Zip
45409-1328
Phone Number
937-293-1622
Fax Number
person
Provider Business Mailing Address Details
Address
3120 Governors Place Blvd
City
Kettering
State
Ohio
Zip
45409-1328
Phone Number
937-293-1622
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
35034705 (Ohio)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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