Individual provider · Type 1 NPI

Charles R. Nicolosi, MD

Specialist · Cannon Falls, MN

NPI number 1063596831 Active

Practice location

116 Mill St W.
Cannon Falls, MN 55009-2027

Mailing address

2031 32nd St S
La Crosse, WI 54601-7099

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X20585 (MN)

Specialist: 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.

About NPI 1063596831

Charles R. Nicolosi, MD's National Provider Identifier is 1063596831, issued on Oct 25, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Cannon Falls, MN. The record was last updated on Nov 14, 2007.