# ROBERT D NITSCHELM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1598719064
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 11780 | MT | Yes |
| 207Q00000X | Family Medicine Physician | 4431 | SD | — |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 11/27/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005747 | WELLMARK | SD |
| 01 | — | 0005763 | WELLMARK | SD |
| 01 | — | 080155590 | RR MEDICARE | SD |
| 01 | — | 4431 | DAKOTACARE | SD |
| 05 | — | 5610075 | — | SD |
| 05 | — | 5610078 | — | SD |