Individual provider · Type 1 NPI

Charles P. Nicholson, MD

Vascular Surgery Physician · Edina, MN

NPI number 1114958097 Active

Practice location

6405 France Ave S, Suite W440
Edina, MN 55435-2163

Call (952) 927-7004 Map

Fax (952) 927-5146

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X31132 (MN)
Vascular Surgery Physician Primary 2086S0129X31132 (MN)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

75 other providers at this address

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About NPI 1114958097

Charles P. Nicholson, MD's National Provider Identifier is 1114958097, issued on Jul 6, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Edina, MN. The record was last updated on Mar 8, 2017.