# THOMAS D NICHOLAS MD DANIEL J DWYER MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rockville Town Square Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164411344
- **Authorized official:** DANIEL J DWYER MD (PARTNER)
- **Authorized official phone:** (765) 569-2057

## Contact information

- **Practice address:** 111 W HIGH ST, ROCKVILLE, IN 47872-1735
- **Practice address phone:** (765) 569-2057
- **Practice address fax:** (765) 569-2340
- **Mailing address:** 111 W HIGH ST, ROCKVILLE, IN 47872-1735
- **Mailing address phone:** (765) 569-2057
- **Mailing address fax:** (765) 569-2340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | IN | Yes |

## Other

- **Enumeration date:** 10/19/2005
- **Last updated:** 07/24/2008