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Individual
NICHOLAS TALARCZYK
Active
Individual
NICHOLAS TALARCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3245-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064S6TA
BCBS OF MN
WI
01
—
118952
SECURITY HEALTH PLAN
WI
05
—
40106500
—
WI
01
—
650019368
RAILROAD MEDICARE
WI
01
—
650019400
RAILROAD MEDICARE
WI
01
—
P00441549
RAILROAD MEDICARE
WI
Enumeration date
08/16/2006
Last updated
06/25/2013
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