Individual
NICHOLAS MARIO DILULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-7800
(612) 262-7022
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15440
MN
363AM0700X
Medical Physician Assistant
PA5714
MA
Other
Enumeration date
05/04/2016
Last updated
11/20/2025
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