Individual
NICOLAI S GERHARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
W832 COUNTY RD S, KEWASKUM, WI 53040-1116
(262) 384-0772
Mailing address
2300 UNIVERSITY AVE APT 96, MADISON, WI 53726-3869
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4605-23
WI
376K00000X
Nurse's Aide
3633250
WI
Other
Enumeration date
10/08/2014
Last updated
10/07/2025
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