Individual
DR. SARAH JANE NICKOLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0812
(414) 805-0855
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0812
(414) 805-0855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53811
WI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
53811
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100023632
—
WI
05
—
1033381991
—
WI
Enumeration date
03/31/2008
Last updated
03/05/2025
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