Individual
NICHOLAS BRIAN VIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 9TH ST N, VIRGINIA, MN 55792-2329
(218) 305-0000
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55493
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001-0100257
MEDICA
—
01
—
1063704914
BCBS
MN
05
—
1063704914
—
MN
01
—
P01099801
RR MEDICARE
MN
Enumeration date
05/11/2011
Last updated
11/19/2025
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