person
Charles R Nicolosi, MD
Specialist in Cannon Falls, Minnesota
NPI 1063596831

Charles R Nicolosi is a Specialist based in La Crosse, MN. Charles R Nicolosi practices in Cannon Falls, MN and has the professional credentials of MD. The NPI Number for Charles R Nicolosi is 1063596831 and holds a License No. 20585 (Minnesota).

The current practice location address for Charles R Nicolosi is 116 Mill St W., Cannon Falls, MN and can be reached out via phone at 608-788-8103.

Location: 116 Mill St W., Cannon Falls, MN, 54601-7099
person
Provider Profile Details
NPI Number
1063596831
Provider Name
Charles R Nicolosi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
116 Mill St W., Cannon Falls, MN, 54601-7099
Phone Number
608-788-8103
Fax Number
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
127T7NI 01 MN BCBS MN
institution
Provider Business Practice Location Address Details
Address
116 Mill St W.
City
State
Zip
55009-2027
Phone Number
608-788-8103
Fax Number
person
Provider Business Mailing Address Details
Address
116 Mill St W.
City
State
Zip
55009-2027
Phone Number
608-788-8103
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
20585 (Minnesota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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