Wyskoarko, Nicholas P

Wyskoarko, Nicholas P is an individual health care provider with primary practice located at 3501 Cranberry Blvd , Weston WI 54476. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wyskoarko, Nicholas P can be contacted via phone (715) 847-3217.

Contact Information

Primary practice address
3501 Cranberry Blvd Weston WI 54476
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 37939 Wisconsin

Profile Details

NPI number 1205945177
LBN Legal business name Wyskoarko, Nicholas P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205945177 NPPES
Wisconsin MEDICAID 32268100

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