Individual
MICHAEL TROY NESBIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 343-1333
(605) 343-6017
Mailing address
631 SAINT ANNE ST STE 102, RAPID CITY, SD 57701-4693
(605) 343-1333
(605) 343-6017
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
LT0996
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00478929
RAILROAD MEDICARE
SD
Enumeration date
08/31/2006
Last updated
03/19/2015
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