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1144613811
NICKOLAS RUKAMP
PEWAUKEE, WI
NPI
1144613811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WI 3493-23)
Enumeration Date
2015-03-05
Last Update Date
2023-12-21
Business Address
NICKOLAS RUKAMP PA-C
N15W28300 GOLF RD
PEWAUKEE, WI 53072-4800
Phone number: 262-303-5055
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Mailing Address
NICKOLAS RUKAMP PA-C
6400 INDUSTRIAL LOOP
GREENDALE, WI 53129-2452
Phone number: 414-858-4106
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