Individual
DR. NICHOLAS Z PRYOMSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6611 SPRING ST, MOUNT PLEASANT, WI 53406-2632
(262) 504-3100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 504-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67376
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043638083
—
WI
Enumeration date
06/26/2014
Last updated
10/06/2023
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