| William Nicholson, MD | |
|
2514 S 102nd St Ste 160, West Allis, WI 53227-2142 | |
| (414) 255-0300 | |
| (414) 543-9601 |
| Full Name | William Nicholson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2514 S 102nd St Ste 160, West Allis, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003830142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 37383 (Wisconsin) | Primary |
| Entity Name | Vpa Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659484657 PECOS PAC ID: 9234041948 Enrollment ID: O20040322000734 |
| Entity Name | Iah Of Wisconsin Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861898090 PECOS PAC ID: 1658696729 Enrollment ID: O20150212000235 |
| Mailing Address | Practice Location Address |
|---|---|
| William Nicholson, MD 3807 Spring St, Racine, WI 53405-1667 Ph: (262) 687-8173 | William Nicholson, MD 2514 S 102nd St Ste 160, West Allis, WI 53227-2142 Ph: (414) 255-0300 |
Michael D Hazelberg, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2514 S 102nd St Ste 160, West Allis, WI 53227 Phone: 414-255-0300 Fax: 414-543-9601 | |
Gregory Rachu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7220 W National Ave, West Allis, WI 53214 Phone: 414-257-8500 | |
Dr. Paul Gordon Malen, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2323 S 109th St, #220, West Allis, WI 53227 Phone: 414-541-5222 Fax: 414-541-4959 | |
Peggy A Callahan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8901 W Lincoln Ave, Hyperbaric Medicine And Wound Care, West Allis, WI 53227 Phone: 414-203-3760 | |
Hillary A Tamar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2814 S 108th St, West Allis, WI 53227 Phone: 414-885-3525 | |
Francis X Ruzicka, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 S 70th St, West Allis, WI 53214 Phone: 414-773-6600 Fax: 414-773-6672 |