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David Nickel, M.D. — NPI 1295796118, Lake St Louis, MO | NPI Central

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NPI 1295796118

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David Nickel, M.D.

NPI 1295796118 · Surgery Physician · Lake St Louis, MO

Provider details

NPI number: 1295796118
Entity type: Individual
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: 2000153513 (MO)

Specialties & taxonomies

Surgery PhysicianPrimary208600000XLicense 2000153513 (MO)
Allopathic & Osteopathic Physicians

Practice location

300 Medical Plz Ste 310

Lake St Louis, MO 63367-1484

Phone: (636) 625-2662

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

Po Box 955534 Suite 310

Saint Louis, MO 63195-0001

Additional practice locations (1)

400 1st Capitol Dr
Saint Charles, MO 63301-2880
Phone: (636) 669-2332
Fax: (636) 669-2401

Registry dates

Enumerated: 2006-03-30
Last updated: 2020-10-26
Certified: 2020-10-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.