Individual
ROBERT D FICALORA
Active
Individual
ROBERT D FICALORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
01081089A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MED-PHY-LIC-28236
MT
207R00000X
Internal Medicine Physician
01081089A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
01081089A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305483700
—
MN
Enumeration date
01/12/2006
Last updated
06/21/2022
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