Individual
NICHOLAS C MAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 N 10TH STREET, BISMARCK, ND 58501-4516
(701) 530-7500
(701) 530-7484
Mailing address
310 N 10TH STREET, BISMARCK, ND 58501-4516
(701) 530-7500
(701) 530-7484
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10359
ND
207RC0000X
Cardiovascular Disease Physician
LT10359
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13910
—
ND
Enumeration date
08/25/2006
Last updated
05/25/2011
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