Individual
DR. NICHOLAS CARLETON CANZANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
64068
MN
208100000X
Physical Medicine & Rehabilitation Physician
28954
MN
208100000X
Physical Medicine & Rehabilitation Physician
64068
MN
208VP0000X
Pain Medicine Physician
64068
MN
208VP0014X
Interventional Pain Medicine Physician
Primary
64068
MN
Other
Enumeration date
05/31/2017
Last updated
08/21/2024
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