Individual
ANNA NICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5555
Mailing address
3903 SCOTCH PINE CT, EAU CLAIRE, WI 54701-7785
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MN
Other
Enumeration date
02/09/2022
Last updated
07/25/2024
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