Individual
NICHOLAUS JAY MONSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7083
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036178355
IL
2085R0202X
Diagnostic Radiology Physician
2026005543
MO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101281532
VA
2085R0204X
Vascular & Interventional Radiology Physician
036178355
IL
2085R0204X
Vascular & Interventional Radiology Physician
2026005543
MO
2085R0204X
Vascular & Interventional Radiology Physician
4301115412
MI
Other
Enumeration date
06/28/2018
Last updated
03/11/2026
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