Individual provider · Type 1 NPI

Peter Nicholson, MD

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1205623642 Active

Practice location

500 Harvard St SE
Minneapolis, MN 55455-0363

Mailing address

366 Mount Curve Blvd
St. Paul, MN 55105-1300

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205623642

Peter Nicholson, MD's National Provider Identifier is 1205623642, issued on Apr 21, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on Apr 21, 2025.