Individual
DR. SARA KRISTEN NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4060 N MAIN ST, RACINE, WI 53402-3121
(262) 752-2020
(262) 292-5019
Mailing address
1534 COLLEGE AVE, RACINE, WI 53403-1949
(262) 989-9629
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2990-035
WI
Other
Enumeration date
05/03/2006
Last updated
06/24/2008
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