Individual
DR. THOMAS ROBERT NACHTIGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
505
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114725100
—
MN
01
—
125936
UCARE
MN
01
—
27-00597
MEDICA
MN
01
—
287J5NA
BCBS
MN
01
—
81582200
WI MA
WI
01
—
96860
MAYO
MN
Enumeration date
07/09/2006
Last updated
12/13/2011
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