Individual
DR. NICHOLAS PAUL MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
208600000X
Surgery Physician
61137
MN
208C00000X
Colon & Rectal Surgery Physician
Primary
61137
MN
Other
Enumeration date
05/25/2015
Last updated
07/20/2022
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