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1801979885
NICHOLAS CLARE KETCHUM
MILWAUKEE, WI
NPI
1801979885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: WI 51705)
Enumeration Date
2006-10-23
Last Update Date
2011-08-31
Business Address
Dr. NICHOLAS CLARE KETCHUM M.D.
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-3000
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Mailing Address
Dr. NICHOLAS CLARE KETCHUM M.D.
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-3000
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