Organization
FACULTY PHYSICIANS OF INTERNAL MEDICINE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN M NICHOLS M.D. (PRESIDENT)
(414) 649-7202
Entity
Organization
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, SUITE 730, MILWAUKEE, WI 53215-3669
(414) 649-7202
(414) 649-5158
Mailing address
2801 W KINNICKINNIC RIVER PKWY, SUITE 730, MILWAUKEE, WI 53215-3669
(414) 649-7202
(414) 649-5158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
WI
291U00000X
Clinical Medical Laboratory
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21254500
—
WI
01
—
29288
RAILROAD MEDICARE
WI
Enumeration date
12/05/2005
Last updated
09/11/2025
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