Search › Wisconsin › 367H00000X
Nicholas Sample, CAA
NPI 1205236031 · on the registry since 2014
Practice
- Address
- 1836 South Ave
La Crosse, WI 54601 - Phone
- (608) 782-7300
- Organisation at this address
- Gundersen Clinic Ltd
Gundersen Clinic Ltd
Gundersen Clinic Ltd
Gundersen Clinic Ltd
Gundersen Lutheran Admin SvcsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,548
Additional practice sites
- 537 Crown Pointe Estates Ct, Wildwood, MO
Registry record
- Primary taxonomy
- 367H00000X
367H00000X
- Also registered as
- 2255A2300X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-29
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