Individual
DR. NICHOLAS DANIEL VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4212 GRAND AVE, DULUTH, MN 55807-2737
(218) 786-3500
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-3146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
68003
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2019
Last updated
01/03/2023
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