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Nickolas Rukamp, PA-C
Medical Physician Assistant in Pewaukee, Wisconsin
NPI 1144613811

Nickolas Rukamp is a Medical Physician Assistant based in Greendale, WI and is specialized in Medical. Nickolas Rukamp practices in Pewaukee, WI and has the professional credentials of PA-C. The NPI Number for Nickolas Rukamp is 1144613811 and holds a License No. 3493-23 (Wisconsin).

The current practice location address for Nickolas Rukamp is N15W28300 Golf Rd, Pewaukee, WI and can be reached out via phone at 262-303-5055 and via fax at 262-303-5057.

Location: N15W28300 Golf Rd, Pewaukee, WI, 53129-2452
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Provider Profile Details
NPI Number
1144613811
Provider Name
Nickolas Rukamp
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
N15W28300 Golf Rd, Pewaukee, WI, 53129-2452
Phone Number
262-303-5055
Fax Number
262-303-5057
Provider Enumeration Date
03/05/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100043122 05 WI
institution
Provider Business Practice Location Address Details
Address
N15W28300 Golf Rd
City
State
Zip
53072-4800
Phone Number
262-303-5055
Fax Number
262-303-5057
person
Provider Business Mailing Address Details
Address
N15W28300 Golf Rd
City
State
Zip
53072-4800
Phone Number
262-303-5055
Fax Number
262-303-5057
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
3493-23 (Wisconsin)
Definition
Definition to come...
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