Search › Wisconsin › 1223G0001X
Nicole Broz
NPI 1124870910 · on the registry since 2024
Practice
- Address
- 11904 W North Ave
Wauwatosa, WI 53226 - Phone
- (414) 206-3356
- Organisation at this address
- Childynamics Llc
Childynamics, Llc
Wauwatosa Family Dental
Sport Clinic Of Greater Milwaukee
Childynamics, Llc Health Check ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Additional practice sites
- 1801 W Wisconsin Ave, Milwaukee, WI
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin