NPI 1114958097

Charles P. Nicholson, MD

Practitioner Vascular Surgery Physician Edina, MN

Practice location

Address: 6405 France Ave S Suite W440, Edina, MN 55435-2163
Phone: (952) 927-7004
Fax: (952) 927-5146
Mailing address: 6405 France Ave S #w440, Edina, MN 55435-2163

Registered specialties (2)

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 31132 (MN)

Other Surgery providers in Minnesota →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 31132 (MN)

Registry record

NPI: 1114958097
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2006
Record last updated: 8 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.