Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles P. Nicholson, MD

Individual provider Surgery Physician · NPI 1114958097

Charles P. Nicholson, MD is a Surgery Physician in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6405 France Ave S Ste W440
Edina, MN 55435-2163
Phone: (952) 927-7004
Fax: (952) 927-5146
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Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 31132 (MN)
Surgery Physician Taxonomy 208600000X · Licence 31132 (MN)

Record details

NPI number1114958097
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESMarch 8, 2017
Mailing address6405 France Ave S, W440, Edina, MN 55435-2163

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