Most Relevant Information
Provider Data
| NPI Number: | 1003236373 |
| Provider Name: | NICHOLAS CHARLES BOYSEN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 61426 |
Most Important Dates
| Enumeration Date: | 04/24/2014 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
640 JACKSON ST
SAINT PAUL
MN
551012502
Practice Location Phone/Fax
| Phone: | 6512543456 |
| Fax: | 6512549673 |
Provider Mailing Location
8170 33RD AVE S
MS 21110Q
BLOOMINGTON
MN
554254516
Provider Mailing Phone/Fax
| Phone: | 6512543456 |
| Fax: | 6512549673 |
Suggested EMR
Internist EMR