NPI 1164095956

Nicholas Hanke, CSFA

Practitioner Surgical Assistant Wausau, WI

Practice location

Address: 333 Pine Ridge Blvd, Wausau, WI 54401-4102
Phone: (715) 847-2022
Mailing address: 309 Sturgeon Eddy Rd, Wausau, WI 54403-6627

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 179985 (WI)

Other Specialist/Technologist, Other providers in Wisconsin →

Registry record

NPI: 1164095956
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2021
Record last updated: 4 Jun 2026

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.