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NPI Code Detail

MEDICARE: NICHOLAS ANDREW TOMSEN MD

MEDICARE:   NICHOLAS ANDREW TOMSEN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician7701KS
2207Q00000XFamily Medicine Physician04-35923KS

General Provider Information

NPI Number : 1831485317
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS ANDREW TOMSEN MD
Provider Business Mailing Address
First Line : 1126 S CLIFTON AVE
Second Line :
City : WICHITA
State : KS
Zip : 67218-2913
Country : US
Telephone Number : 316-350-8008
Fax Number : 316-350-8020
Provider Business Practice Location Address
First Line : 1126 S CLIFTON AVE
Second Line :
City : WICHITA
State : KS
Zip : 67218-2913
Country : US
Telephone Number : 316-350-8008
Fax Number : 316-350-8020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2011
Last Update Date : 09/28/2018

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Directions to “ NICHOLAS ANDREW TOMSEN MD” Practice Location

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