Charles P. Nicholson, M.D. Valid NPI

Individual provider · Vascular Surgery Physician · Edina, MN

NPI

1114958097

Type

Individual (Type 1)

Primary specialty

Vascular Surgery Physician (Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2086S0129X

License number

31132 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-06

Last updated

2017-03-08