Individual
KAITLIN M MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5433 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1382
(414) 277-8909
(414) 277-8939
Mailing address
5433 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1382
(414) 277-8909
(414) 277-8939
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
196487-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003364811
—
WI
Enumeration date
09/21/2016
Last updated
12/15/2022
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