Individual
NICHOLAS TADEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 649-6000
(414) 649-5296
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
66569-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098153
—
WI
05
—
1992192256
—
WI
Enumeration date
04/23/2015
Last updated
11/29/2021
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