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Individual

DR. ANDREW NICKELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
Mailing address
PO BOX 1309, MAIL STOP 21110Q, MINNEAPOLIS, MN 55440-1309
(952) 993-8700

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
56208
MN
207K00000X
Allergy & Immunology Physician
MD53016
TN
207R00000X
Internal Medicine Physician
125055926
IL
207R00000X
Internal Medicine Physician
MD53016
TN
208000000X
Pediatrics Physician
125055926
IL
208000000X
Pediatrics Physician
53016
TN
208000000X
Pediatrics Physician
56208
MN
2080P0201X
Pediatric Allergy/Immunology Physician
53016
TN

Other

Enumeration date
08/20/2009
Last updated
07/21/2022
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