Individual
ADAM FOSTER NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 S WASHINGTON ST - ALTRU PROFESSIONAL CENTER, GRAND FORKS, ND 58201
(701) 732-7000
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
12119
ND
208800000X
Urology Physician
21482
MS
208800000X
Urology Physician
49436
MN
Other
Enumeration date
06/29/2007
Last updated
09/24/2020
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