Search › Wisconsin › 207Q00000X

Matthew Nichols, DO

NPI 1588292692 · on the registry since 2020

Practice

Address
1016 W Layton Ave
Milwaukee, WI 53321
Phone
(414) 508-2363
Fax
(888) 355-6740
Clinicians at this address
2

Additional practice sites

  • 6500 38th Ave N, St Petersburg, FL

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
Licence states on file
FL, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-02-11

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