Individual
MRS. ANN MARIE NIKOLAUS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
2025 W OKLAHOMA AVE, STE 100, MILWAUKEE, WI 53215-4455
(414) 647-0033
(414) 647-0079
Mailing address
2025 W OKLAHOMA AVE, STE 100, MILWAUKEE, WI 53215-4455
(414) 647-0033
(414) 647-0079
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
93236
WI
Other
Enumeration date
10/14/2005
Last updated
07/08/2007
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