Individual
NICHOLAS ROBERT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, AGANCP-BC
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
H174968
IA
363L00000X
Nurse Practitioner
Primary
10804
MN
Other
Enumeration date
07/10/2023
Last updated
10/18/2023
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