Individual
DR. NICHOLAS GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2502 E STRATFORD CT, MILWAUKEE, WI 53211-2634
(402) 415-6110
Mailing address
2502 E STRATFORD CT, MILWAUKEE, WI 53211-2634
(402) 415-6110
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4310-850
WI
208D00000X
General Practice Physician
Primary
61298-20
WI
Other
Enumeration date
05/19/2010
Last updated
07/15/2022
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