Individual
DR. NIKOLAOS CHATZIZACHARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD, FRCS
Contact information
Practice address
9200 WEST WISCONSIN AVENUE, MEDICAL COLLEGE OF WISONSIN, WAUWATOSA, WI 53226-3596
(414) 805-5020
Mailing address
9200 WEST WISCONSIN AVENUE, MEDICAL COLLEGE OF WISONSIN, WAUWATOSA, WI 53226-3596
(414) 805-5020
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
65018-20
WI
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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