NICOLIS BAUMGARD

MINNEAPOLIS, MN
NPI1568988038
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: MN  R2448631)
Enumeration Date2017-08-16
Last Update Date2017-08-16
Business Address
NICOLIS BAUMGARD RN, PHN
1 VETERANS DR
MINNEAPOLIS, MN 55417-2309
Phone number: 952-467-3514
Mailing Address
NICOLIS BAUMGARD RN, PHN
13725 VERNON CIR
SAVAGE, MN 55378-1893
Phone number: 952-463-6174