IndividualActive
Nicholas Rosculet, MD
NPI 1104216480 · Pediatric Critical Care Medicine Physician · Minneapolis, MN
Provider details
- NPI number
- 1104216480
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 76842 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2530 Chicago Ave Ste 400
Minneapolis, MN 55404-4387
Phone: (612) 813-3300
Fax: (612) 813-3349
Approximate (ZIP-level) locationGet directions
Mailing address
2530 Chicago Ave Ste 400
Minneapolis, MN 55404-4387
Registry dates
- Enumerated
- 2015-01-26
- Last updated
- 2024-06-28
- Certified
- 2024-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.