Individual
STEVE MCNICHOLS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 W CENTURY AVE, BISMARCK, ND 58503-1402
(701) 530-8500
(701) 530-8506
Mailing address
121 W CENTURY AVE, BISMARCK, ND 58503-1402
(701) 530-8500
(701) 530-8506
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1217
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26160
BCBS
ND
05
—
50966
—
ND
Enumeration date
01/11/2006
Last updated
07/08/2007
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