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Individual

ROBERT W NIPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
496
MN
213ES0103X
Foot & Ankle Surgery Podiatrist
496
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5B969NO
BCBS
05
634525500
MN
Enumeration date
05/05/2006
Last updated
05/09/2012
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