Individual
DR. NICHOLAS THOMAS MANSUETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2810 W. 35TH ST, KEARNEY, NE 68845-2909
(308) 865-2570
(308) 865-2508
Mailing address
2810 W. 35TH ST, KEARNEY, NE 68845-2909
(308) 865-2570
(308) 865-2508
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
900
NE
207XS0106X
Orthopaedic Hand Surgery Physician
900
NE
Other
Enumeration date
01/18/2007
Last updated
11/25/2019
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