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Individual

DR. THOMAS ROBERT NACHTIGAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 454-3650
Mailing address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 454-3650

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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