| Organization Name: | THOMAS D NICHOLAS MD DANIEL J DWYER MD |
| NPI Number: | 1770706400 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL J DWYER (PARTNER) |
| Mailing Address: | 111 W High St Rockville |
| State: | IN US |
| Postal Code: | 47872 |
| Phone Number: | 7655692057 |
| Fax Number: | 7655692340 |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 07/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15D0362127 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |