Individual
DR. ALFRED C NICOLOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2982
(608) 756-6686
(608) 756-6289
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2982
(608) 756-6686
(608) 756-6289
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
27049
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760434443
—
WI
Enumeration date
05/17/2006
Last updated
09/15/2023
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