NPI 1003830142

William Nicholson, MD

Practitioner Family Medicine Physician West Allis, WI

Practice location

Address: 2514 S 102nd St STE 160, West Allis, WI 53227-2142
Phone: (414) 255-0300
Fax: (414) 543-9601
Mailing address: 3807 Spring St, Racine, WI 53405-1667

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 37383 (WI)

Other Family Medicine providers in Wisconsin →

Registry record

NPI: 1003830142
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2006
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.