Individual
MR. PAUL DANIEL NISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
722 15TH STREET NE, BEMIDJI, MN 56601
(218) 751-3280
(218) 751-3298
Mailing address
722 15TH STREET NE, BEMIDJI, MN 56601
(218) 751-3280
(218) 751-3298
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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