Individual
DR. NICOLAS ROBERT BRANSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17135 W. CAPITOL DR., SUITE 100, BROOKFIELD, WI 53005-2193
(262) 200-9445
Mailing address
7117 GREEN BAY RD, KENOSHA, WI 53142-1450
(715) 828-9655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1001398
WI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1001398
WI
Other
Enumeration date
10/04/2016
Last updated
08/14/2025
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