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Contact Information

ANDREW NICKELS, MD
14000 FAIRVIEW DR
BURNSVILLE, MN55337-5713
 Phone: 952-993-8700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ANDREW NICKELS · (Male)

NPI # 1922230101
Status Active
Credentials MD
Entity Individual
Enumeration date 08/20/2009
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 125055926
  • MN License # 56208
  • TN License # 53016
  • TN License # MD53016
Hospital affiliation(s)
  • PARK NICOLLET METHODIST HOSPITAL - (Acute Care)
    6500 EXCELSIOR BLVD
    SAINT LOUIS PARK, MN 55426
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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