Individual provider · Type 1 NPI

Glenn A. Nickele, MD

Cardiovascular Disease Physician · St. Croix Falls, WI

NPI number 1093781452 Active

Practice location

216 S Adams St
St. Croix Falls, WI 54024-9449

Fax (715) 483-0507

Mailing address

235 State Street
St. Croix Falls, WI 54024-4117

Other practice locations

  • 640 Jackson St, Mc 11102H, St. Paul, MN 55101-2502 · (651) 254-5175

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician 207RC0000X42548 (MN)
Cardiovascular Disease Physician Primary 207RC0000X32220 (WI)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

5 other providers at this address

About NPI 1093781452

Glenn A. Nickele, MD's National Provider Identifier is 1093781452, issued on Feb 27, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in St. Croix Falls, WI. The record was last updated on Jun 12, 2024.