Individual
NICOLA M. CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11221 N PARKVIEW DR, MEQUON, WI 53092-1923
(414) 630-6308
Mailing address
11221 N PARKVIEW DR, MEQUON, WI 53092-1923
(414) 630-6308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35878
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32100700
—
WI
Enumeration date
08/13/2006
Last updated
06/05/2025
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