Individual
ALEXANDER NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2904 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3134
(414) 241-9874
(414) 255-7160
Mailing address
6508 S 27TH ST # 278, OAK CREEK, WI 53154-1093
(414) 241-9872
(414) 255-7160
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
N2000006626607
WI
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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