Nicholas Collar
Student in an Organized Health Care Education/Training Program in Milwaukee, WI. Individual provider (NPI-1).
NPI number1033859202
StatusActive
Last updated in NPPESMar 29, 2022
Details
- NPI
- 1033859202
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Collar
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2022
- Certification date
- Mar 29, 2022
- Last updated
- Mar 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
8701 Watertown Plank RdMilwaukee, WI 53226-3548
Phone 414-955-8296
Mailing address
8701 Watertown Plank RdMilwaukee, WI 53226-3548
Phone 414-955-8296
Other practice locations
1349 S 84th St
West Allis, WI 53214-2953
West Allis, WI 53214-2953
Phone 608-316-5710
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