Individual
NICHOLAS P WEBBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, SUITE 345, MILWAUKEE, WI 53215-3669
(414) 649-7900
(414) 649-7499
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 649-7900
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
54130
WI
207X00000X
Orthopaedic Surgery Physician
Primary
54130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100010174
—
WI
01
—
P00882939
RR MEDICARE
WI
Enumeration date
12/04/2006
Last updated
11/30/2023
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