Individual provider · Type 1 NPI

Nickolas Rukamp, PA-C

Medical Physician Assistant · Pewaukee, WI

NPI number 1144613811 Active

Practice location

N15W28300 Golf Rd
Pewaukee, WI 53072-4800

Call (262) 303-5055 Map

Fax (262) 303-5057

Mailing address

6400 Industrial Loop
Greendale, WI 53129-2452

Other practice locations

  • 725 American Ave Ste 5, Waukesha, WI 53188-5031 · (262) 928-2475

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X3493-23 (WI)

Medical Physician Assistant: Definition to come...

76 other providers at this address

About NPI 1144613811

Nickolas Rukamp, PA-C's National Provider Identifier is 1144613811, issued on Mar 5, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pewaukee, WI. The record was last updated on Dec 21, 2023.