Individual
DR. NICHOLAS MICHAEL SCHOTZKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
632 NORTH MAIN, GARRETSON, SD 57030
(605) 594-2011
(605) 594-2091
Mailing address
632 NORTH MAIN, GARRETSON, SD 57030
(605) 594-2011
(605) 594-2091
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1161
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00830716
RAILROAD MEDICARE PTAN
SD
Enumeration date
01/15/2010
Last updated
11/22/2010
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