Individual
NICHOLAS CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 385-7450
Mailing address
777 S EDEN ST APT 621, BALTIMORE, MD 21231-2835
(239) 823-8499
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
81807-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100334370
—
WI
Enumeration date
04/01/2021
Last updated
09/18/2025
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