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Individual

NICHOLAS PEDERSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1705 16TH AVE, CUMBERLAND, WI 54829-8601
(715) 822-7500
(715) 822-7501
Mailing address
1705 16TH AVE, CUMBERLAND, WI 54829-8601
(715) 822-7500
(715) 822-7501

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5071
WI

Other

Enumeration date
03/04/2020
Last updated
03/24/2026
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