Charles R Nicolosi M.D.

NPI 1063596831 - Specialist - 174400000X

NPI Details
NPI 1063596831
Gender Male
Enumeration Date 10/25/2006
Last Updated 11/14/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
116 MILL ST W.
CANNON FALLS MN, 55009-2027, US
Phone (608) 788-8103
Business Location
2031 32ND ST S
LA CROSSE WI, 54601-7099, US
Phone (608) 788-8103
Taxonomy Code 174400000X
License State Minnesota
License Number 20585
Remove 1063596831 NPI Number

According to our database, Charles R Nicolosi M.D. NPI is 1063596831, taxonomy code is 174400000X and license number is 20585, license state is located at Minnesota. Charles R Nicolosi M.D. physically located at 116 Mill St W., Cannon Falls MN, 55009-2027. NPI Number Charles R Nicolosi M.D. has the Individual type.

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1063596831 NPI number is provided on an as is basis without warranty of any kind. 1063596831 is maintained by the National Plan & Provider Enumeration System. The contents of Charles R Nicolosi M.D. are for informational purposes only.