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Richard K Niccum, MD
Emergency Medicine Physician in Fort Wayne, Indiana
NPI 1417907122

Richard K Niccum is a Emergency Medicine Physician based in Columbia City, IN. Richard K Niccum practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Richard K Niccum is 1417907122 and holds a License No. 01037769A (Indiana).

The current practice location address for Richard K Niccum is 2121 Lake Ave, Fort Wayne, IN and can be reached out via phone at 260-426-5431.

Location: 2121 Lake Ave, Fort Wayne, IN, 46725-8953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417907122
Provider Name
Richard K Niccum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2121 Lake Ave, Fort Wayne, IN, 46725-8953
Phone Number
260-426-5431
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
200210570 05 IN
institution
Provider Business Practice Location Address Details
Address
2121 Lake Ave
City
Fort Wayne
State
Indiana
Zip
46805-5100
Phone Number
260-426-5431
Fax Number
person
Provider Business Mailing Address Details
Address
2121 Lake Ave
City
Fort Wayne
State
Indiana
Zip
46805-5100
Phone Number
260-426-5431
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
01037769A (Indiana)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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