IndividualActive
Douglas Nuckols, MD
NPI 1982696837 · Otolaryngology Physician · Fort Wayne, IN
Provider details
- NPI number
- 1982696837
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01052220A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
10021 Dupont Circle Ct
Fort Wayne, IN 46825-1604
Phone: (260) 426-8117
Fax: (260) 420-0817
Approximate (ZIP-level) locationGet directions
Mailing address
10021 Dupont Circle Ct
Fort Wayne, IN 46825-1604
Registry dates
- Enumerated
- 2005-08-17
- Last updated
- 2009-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.