Individual
ROBERT D NITSCHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 HERITAGE WAY STE 202, KALISPELL, MT 59901-3127
(406) 752-8433
(406) 756-6768
Mailing address
160 HERITAGE WAY STE 202, KALISPELL, MT 59901-3127
(406) 752-8433
(406) 756-6768
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11780
MT
207Q00000X
Family Medicine Physician
4431
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005747
WELLMARK
SD
01
—
0005763
WELLMARK
SD
01
—
080155590
RR MEDICARE
SD
01
—
4431
DAKOTACARE
SD
05
—
5610075
—
SD
05
—
5610078
—
SD
Enumeration date
05/20/2006
Last updated
11/27/2023
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