Individual
NICHOLAS REED RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
31662
MN
207Y00000X
Otolaryngology Physician
72135
MN
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
72135
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201986937WA
—
WA
Enumeration date
11/21/2017
Last updated
09/12/2025
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