Individual
NICHOLAS PULOS
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
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
60869
MN
207X00000X
Orthopaedic Surgery Physician
MT199473
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT199473
PA
Other
Enumeration date
05/17/2011
Last updated
08/19/2020
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