NPI 1730680596

Nicholas Larue

Practitioner Perfusionist Milwaukee, WI

Practice location

Address: 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548
Phone: (414) 955-8296
Mailing address: 4520 N Wilson Dr APT 3, Shorewood, WI 53211-1343

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X

Other Perfusionist providers in Wisconsin →

Registry record

NPI: 1730680596
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Feb 2018
Record last updated: 26 Feb 2018

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.