IndividualActive
David Nickerson, MD
NPI 1871997213 · Orthopaedic Surgery Physician · Big Horn, WY
Provider details
- NPI number
- 1871997213
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2688A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
56 Crown Dr
Big Horn, WY 82833
Phone: (307) 674-9875
Fax: (307) 678-7393
Approximate (ZIP-level) locationGet directions
Mailing address
56 Crown Drive
Big Horn, WY 82833-0278
Registry dates
- Enumerated
- 2014-10-14
- Last updated
- 2014-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.