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Charles R Nicolosi M.d.
Specialist in La Crosse, Wisconsin
NPI 1366627895

Charles R Nicolosi M.d. is a Specialist based in Cannon Falls, WI. Charles R Nicolosi M.d. practices in La Crosse, WI. The NPI Number for Charles R Nicolosi M.d. is 1366627895 and holds a License No. 20585 (Wisconsin).

The current practice location address for Charles R Nicolosi M.d. is 2031 32Nd St S, La Crosse, WI and can be reached out via phone at 608-788-8103.

Location: 2031 32Nd St S, La Crosse, WI, 55009-1824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366627895
Provider Name
Charles R Nicolosi M.d.
Credential
Provider Entity Type
Organization
Address
2031 32Nd St S, La Crosse, WI, 55009-1824
Phone Number
608-788-8103
Fax Number
Provider Enumeration Date
01/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
127T7NI 01 MN BCBS
institution
Provider Business Practice Location Address Details
Address
2031 32Nd St S
City
La Crosse
State
Wisconsin
Zip
54601-7099
Phone Number
608-788-8103
Fax Number
person
Provider Business Mailing Address Details
Address
2031 32Nd St S
City
La Crosse
State
Wisconsin
Zip
54601-7099
Phone Number
608-788-8103
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
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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