Charles R Nicolosi, M.D.
NPI #1063596831 in Cannon Falls, Minnesota
Provider Information
- NPI Number
- 1063596831
- Entity Type
- Individual
- Name
- Charles R Nicolosi, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Nov 14, 2007
Practice Location
- Address
- 116 MILL ST W.
- City
- Cannon Falls
- State
- Minnesota
- ZIP Code
- 55009-2027
- Phone
- (608) 788-8103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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