Individual
ROBERT JOHN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 SAINT FRANCIS AVE, SUITE 100, SHAKOPEE, MN 55379-3383
(952) 428-3535
(952) 428-3599
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43745
MN
Other
Enumeration date
03/28/2006
Last updated
03/11/2021
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