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

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 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.