Nicholas Larue
Perfusionist in Milwaukee, WI. Individual provider (NPI-1).
NPI number1730680596
StatusActive
Last updated in NPPESFeb 26, 2018
Details
- NPI
- 1730680596
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Larue
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2018
- Last updated
- Feb 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 242T00000X | Perfusionist | – | – | Yes |
Practice location
8701 W Watertown Plank RdMilwaukee, WI 53226-3548
Phone 414-955-8296
Mailing address
4520 N Wilson Dr Apt 3Shorewood, WI 53211-1343
Phone 608-397-0258
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Other Perfusionist providers in Milwaukee, WI
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All 17 Perfusionist providers in Milwaukee · All 23,880 providers in Milwaukee
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