IndividualActive
Charles Nicholson, M.D.
NPI 1114958097 · Vascular Surgery Physician · Edina, MN
Provider details
- NPI number
- 1114958097
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 31132 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
6405 France Ave S
Suite W440
Edina, MN 55435-2163
Phone: (952) 927-7004
Fax: (952) 927-5146
Approximate (ZIP-level) locationGet directions
Mailing address
6405 France Ave S
Edina, MN 55435-2163
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2017-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.