Individual
NICOLE M FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
8700 W WATERTOWN PLANK RD, DEPT OF ORTHOPAEDIC SURGERY, MILWAUKEE, WI 53226-3595
(414) 805-7100
(414) 805-7171
Mailing address
8700 W WATERTOWN PLANK RD, DEPT OF ORTHOPAEDIC SURGERY, MILWAUKEE, WI 53226-3595
(414) 805-7100
(414) 805-7171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2347
WI
363A00000X
Physician Assistant
25MP00166100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043388796
—
WI
Enumeration date
12/01/2006
Last updated
03/13/2017
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