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Individual

NICHOL M FRANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3916 N INTERTECH CT, APPLETON, WI 54913
(920) 996-1000
(920) 997-8302
Mailing address
3916 N INTERTECH CT, APPLETON, WI 54913
(920) 996-1000
(920) 997-8302

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1471-023
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41974800
WI
Enumeration date
06/27/2006
Last updated
01/28/2014
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