Individual
DR. DONALD J NYQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
524 LUDINGTON ST, DONALD J NYQUIST DDS PC STE 103, ESCANABA, MI 49829-3949
(906) 786-9585
(906) 786-6843
Mailing address
524 LUDINGTON ST, DONALD J NYQUIST DDS STE 103, ESCANABA, MI 49829-3949
(906) 786-9585
(906) 786-6843
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11103
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D111030
BCBS
—
Enumeration date
11/07/2006
Last updated
07/08/2007
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