Individual
NICHOLAS ALBERT MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2311 N PROSPECT AVE, MILWAUKEE, WI 53211-4445
(414) 319-3000
(414) 319-3033
Mailing address
4425 N PORT WASHINGTON RD, GLENDALE, WI 53212-1082
(414) 319-3000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2006001559
MO
208600000X
Surgery Physician
Primary
32343
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200634707
—
MO
Enumeration date
04/17/2006
Last updated
03/08/2016
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