Individual
NICKOLAS F HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3207 LAURA LN STE 105, MIDDLETON, WI 53562-1428
(608) 203-8022
(608) 203-8041
Mailing address
3207 LAURA LN STE 105, MIDDLETON, WI 53562-1428
(608) 203-8022
(608) 203-8041
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
50803-20
WI
207Q00000X
Family Medicine Physician
Primary
50803-20
WI
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
50803-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35208300
—
WI
Enumeration date
11/01/2006
Last updated
03/06/2023
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