Individual
NICHOLAS ANDREW BANKHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2533 S GRAHAM ST, MILWAUKEE, WI 53207-1609
(314) 304-1344
Mailing address
2533 S GRAHAM ST, MILWAUKEE, WI 53207-1609
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PAR-0000882626
WI
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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