Individual
JOHN J NASH
Active
Individual
JOHN J NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
50889
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016598
—
WI
01
—
P00983448
RAILROAD MEDICARE
WI
Enumeration date
11/02/2006
Last updated
12/15/2020
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