Individual
NICHOLAS JOHN KOLTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.PED
Contact information
Practice address
810 E 23RD ST, SIOUX FALLS, SD 57105-2135
(605) 977-6845
(605) 332-5844
Mailing address
810 E 23RD ST, SIOUX FALLS, SD 57105-2135
(605) 977-6845
(605) 332-5844
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D00006
SD
Other
Enumeration date
11/19/2009
Last updated
07/19/2010
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