Search › Wisconsin › 101YM0800X
Nicholas Jenquin
NPI 1821876608 · on the registry since 2023
Practice
- Address
- 1496 Bellevue St # 101
Green Bay, WI 54311 - Phone
- (920) 784-2644
- Fax
- (920) 784-2655
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-21
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