Individual
NICHOLAS AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
640 JACKSON ST, DEPARTMENT OF PSYCHIATRY, MAIL STOP 11302C, SAINT PAUL, MN 55101
(952) 883-5202
Mailing address
640 JACKSON ST., DEPARTMENT OF PSYCHIATRY, MAIL STOP 11302C, ST. PAUL, MN 55101-3011
(952) 883-5202
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
58517
MN
2084P0804X
Child & Adolescent Psychiatry Physician
036138207
IL
Other
Enumeration date
04/10/2012
Last updated
02/07/2024
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