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Individual
MICHAEL A. LAST
Active
Individual
MICHAEL A. LAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9573-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000786035
MEDICARE
WI
05
—
40345700
—
WI
01
—
650024852
RAILROAD MEDICARE
WI
01
—
650025192
RAILROAD MEDICARE
WI
Enumeration date
08/22/2006
Last updated
07/21/2022
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