Individual
NICHOLAS WILLIAM KRAWCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2504
(612) 302-8200
Mailing address
420 DELAWARE ST SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 302-8200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47428
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0590752
—
IA
05
—
288684700
—
MN
05
—
34629000
—
WI
01
—
609T6KR
BCBS
MN
01
—
611145
FAIRVIEW
MN
01
—
66-08645
MEDICA-CHOICE
MN
01
—
HP54863
HEALTH PARTNERS
MN
Enumeration date
10/13/2006
Last updated
03/10/2021
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