Individual
DR. NICOLE M CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
565 SNELLING AVE S, SAINT PAUL, MN 55116-1525
(651) 698-0386
(651) 698-0483
Mailing address
565 SNELLING AVE S, SAINT PAUL, MN 55116-1525
(651) 698-0386
(651) 698-0483
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
55037
MN
208000000X
Pediatrics Physician
52838
WI
390200000X
Student in an Organized Health Care Education/Training Program
232221
MA
Other
Enumeration date
12/20/2007
Last updated
07/05/2021
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