Individual
DR. CARTER J NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7450 FRANCE AVE S, SUITE 100, EDINA, MN 55435-4787
(952) 832-8100
(952) 832-8176
Mailing address
7450 FRANCE AVE S, SUITE 100, EDINA, MN 55435-4787
(952) 832-8100
(952) 832-8176
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
34419
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800014
MEDICA DUEL SOLUTIONS
MN
01
—
0824658
MEDICA
MN
01
—
105073
PATIENT CHOICE
MN
01
—
23387
AMERICA'S PPO/TPA
MN
01
—
2F671NI
BLUE CROSS BLUE SHIELD
MN
01
—
960560305008
PREFERRED ONE
MN
01
—
F21442
HEALTH PARTNERS
MN
Enumeration date
02/25/2006
Last updated
07/08/2007
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