Individual
MR. MICHAEL JEROME WRIGHT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 937-2020
(414) 937-2021
Mailing address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 937-2020
(414) 937-2021
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
149019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40220600
—
WI
Enumeration date
05/11/2009
Last updated
05/11/2009
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