Individual
NICHOLAS LOUIS BORMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
404 FOUNTAIN ST, ALBERT LEA, MN 56007-2406
(507) 373-2384
Mailing address
408 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 377-6411
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
73141
MN
2084P0802X
Addiction Psychiatry Physician
MD-47108
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750879367
—
IA
Enumeration date
04/30/2018
Last updated
06/28/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us