Individual
JOSEPH A. NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4448 W. LOOMIS RD., STE 100, GREENFIELD, WI 53220-4851
(414) 281-5150
(414) 281-5767
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49329-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34871200
—
WI
Enumeration date
06/23/2006
Last updated
06/25/2025
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