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Andrew E. Nicoli, D.O.

Anesthesiology · Grafton, WI

UnclaimedD.O.NPI 1124280052
Primary taxonomy
207L00000X
Enumerated
2008-07-01
Practice location
Grafton, WI
Last NPPES update
2025-07-10

State licenses

  • IL · Physician · LICENSED PHYSICIAN AND SURGEONInactivethrough 2011
  • IL · Resident physician · TEMPORARY MEDICAL PERMITInactivethrough 2009
  • WI · Osteopathic physician · NPPES self-reportedListed on NPI record

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.