Individual
DR. NICOLE MARIE THERRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2720 FAIRVIEW AVE N STE 200, ROSEVILLE, MN 55113-1306
(651) 633-6883
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
67234
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
67234
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
94728
MT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
CDRH.0061471
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/25/2015
Last updated
11/28/2022
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