Individual
WILLIAM NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2514 S 102ND ST STE 160, WEST ALLIS, WI 53227-2142
(414) 255-0300
(414) 543-9601
Mailing address
3807 SPRING ST, RACINE, WI 53405-1667
(262) 687-8173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37383
WI
Other
Enumeration date
07/26/2006
Last updated
07/21/2022
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