Individual
NICHOLAS MEDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-5241
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1979-19
WI
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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