Individual
NICHOLAS ELLIOTT INGRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 DELAWARE ST SE, MMC 284, MINNEAPOLIS, MN 55455-0341
(612) 626-5031
Mailing address
420 DELAWARE ST SE, MMC 284, MINNEAPOLIS, MN 55455-0341
(612) 626-5031
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
60063
MN
207RP1001X
Pulmonary Disease Physician
Primary
60063
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2014
Last updated
11/20/2023
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