Individual
NICOLE MARION KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-3560
(414) 266-6092
Mailing address
14900 LIBRARY LN UNIT 326, NEW BERLIN, WI 53151-5395
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
176
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700474772
—
WI
Enumeration date
01/06/2021
Last updated
03/12/2024
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