Individual
MR. NICHOLAS JAMES DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
2833 CHICAGO AVE S, MINNEAPOLIS, MN 55407-3799
(612) 863-3333
Mailing address
3339 BUCHANAN ST NE, MINNEAPOLIS, MN 55418-1449
(612) 242-6921
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1668
MN
Other
Enumeration date
10/17/2014
Last updated
10/09/2017
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