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Individual

NICHOLAS CHRISTIANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
7001 W OLD SAUK RD, MIDDLETON, WI 53562-3509
(608) 833-2578
Mailing address
44 E MIFFLIN ST, SUITE 204, MADISON, WI 53703-4205
(608) 256-0499

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7122
WI

Other

Enumeration date
07/12/2013
Last updated
03/23/2017
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