Individual
NANA KVINIKADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2301 N LAKE DRIVE ASCENSION COLUMBIA ST MARYS HOSPITAL, MILWAUKEE, WI 53211
(414) 447-3556
(414) 462-5921
Mailing address
2400 W. VILLARD AVENUE, MILWAUKEE, WI 53209
(414) 527-8415
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
101403-851
WI
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
05/14/2025
Last updated
08/25/2025
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