Individual
ANDREW GORDON NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7559 ODAY LN NE, OTSEGO, MN 55330-6314
(612) 214-0386
Mailing address
7559 ODAY LN NE, OTSEGO, MN 55330-6314
(913) 498-6537
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
79893
MN
Other
Enumeration date
04/03/2020
Last updated
01/13/2026
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