CHARLES R NICOLOSI M.D.
NPI 1063596831
Specialist in Cannon Falls, MN

Active since October 25, 2006
116 MILL ST W., CANNON FALLS, MN 55009(608) 788-8103 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles R Nicolosi M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES R NICOLOSI M.D. (NPI 1063596831) is an individual specialist in Cannon Falls, Minnesota, licensed in Minnesota (20585) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1063596831
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameCHARLES R NICOLOSICredential: M.D.
Location Address116 MILL ST W.Cannon Falls, MN 55009-2027
Mailing Address2031 32nd St SLa Crosse, WI 54601-7099 · (608) 788-8103
Sole ProprietorYes
Enumeration DateOctober 25, 2006
Last NPPES UpdateNovember 14, 2007
NPI 1063596831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MN · 20585
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

116 MILL ST W., Cannon Falls, MN 55009

Other Names 1

Professional Name (2)Dr. Charles R Nicolosi Md

Other Identifiers 2

Medicare UPIND91458MN
Other127T7NIMN · Bcbs Mn

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Nicolosi's NPI number?

The NPI number for Charles Nicolosi is 1063596831. It was assigned to this individual provider in the NPPES registry on October 25, 2006. The provider is also known as Dr. Charles R Nicolosi MD.

Where is Charles Nicolosi located?

Charles Nicolosi practices at 116 Mill St W., Cannon Falls, MN 55009. The listed phone number is (608) 788-8103.

What is Charles Nicolosi's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Charles Nicolosi was last updated on November 14, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.