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1104322130
NICHOLAS SCOTT ANDRESEN
BALTIMORE, MD
NPI
1104322130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-03-30
Last Update Date
2018-03-30
Business Address
NICHOLAS SCOTT ANDRESEN MD
1600 ORLEANS ST
BALTIMORE, MD 21287
Phone number: 410-955-5000
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Mailing Address
NICHOLAS SCOTT ANDRESEN MD
82 OLIVE CT
IOWA CITY, IA 52246-3236
Phone number: 952-240-7232
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