Individual
ROBERT NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 FOX RUN PKWY STE 101, YANKTON, SD 57078-5371
(605) 665-0062
(605) 665-0076
Mailing address
1104 W 8TH ST, YANKTON, SD 57078-3306
(605) 665-7841
(605) 665-0546
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
12813
SD
207Y00000X
Otolaryngology Physician
33769
NE
Other
Enumeration date
04/28/2016
Last updated
08/25/2021
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