Individual
NICHOLAS BEAUDRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-5222
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
75256
WI
207RC0000X
Cardiovascular Disease Physician
75256
WI
207RI0011X
Interventional Cardiology Physician
Primary
75256
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100180211
—
WI
Enumeration date
03/29/2018
Last updated
06/23/2025
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