Individual
DR. SCOTT E NICHOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1925 WOODWINDS DR, WOODBURY, MN 55125-2270
(651) 232-0228
Mailing address
800 EAST 28TH STREET, MR 11112, MINNEAPOLIS, MN 55407
(612) 863-6590
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
49580
MN
207P00000X
Emergency Medicine Physician
EC-05-141
ME
Other
Enumeration date
11/23/2006
Last updated
09/13/2017
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