Organization · Type 2 NPI
Charles R Nicolosi M.d.
Specialist · La Crosse, WI
NPI number
1366627895
Active
Practice location
2031 32nd St S
La Crosse, WI 54601-7099
Mailing address
1116 Mill St W
Cannon Falls, MN 55009-1824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 20585 (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 1366627895
Charles R Nicolosi M.d.'s National Provider Identifier is 1366627895, issued on Jan 3, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in La Crosse, WI. The record was last updated on Jan 3, 2008.