Individual
DR. NICOLAS JON VAN ES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1105 E HOLLY BLVD, BRANDON, SD 57005-1426
(605) 582-5820
(605) 582-5823
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34204
IA
207Q00000X
Family Medicine Physician
Primary
6008
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35067
WELLMARK BC/BS
IA
05
—
5213975
—
IA
01
—
P00050397
RAILROAD MEDICARE
IA
Enumeration date
09/26/2005
Last updated
04/04/2022
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