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NPI Code Detail

MEDICARE: ROBERT STANISLAW NIZNIK MD

MEDICARE:   ROBERT STANISLAW NIZNIK  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
1207R00000XInternal Medicine Physician60296MN
2390200000XStudent in an Organized Health Care Education/Training ProgramTL.0004905CO
3207RN0300XNephrology PhysicianMD60890396WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922447069
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT STANISLAW NIZNIK MD
Provider Business Mailing Address
First Line : 3104 SQUALICUM PKWY STE 101
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-1941
Country : US
Telephone Number : 360-734-9233
Fax Number : 360-738-8974
Provider Business Practice Location Address
First Line : 3104 SQUALICUM PKWY STE 101
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-1941
Country : US
Telephone Number : 360-734-9233
Fax Number : 360-738-8974
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2013
Last Update Date : 09/11/2025

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