Individual
CYNTHIA LYNN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
4301510051
MI
207NP0225X
Pediatric Dermatology Physician
Primary
66969
MN
Other
Enumeration date
06/20/2014
Last updated
09/19/2023
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