Individual
MS. MICHELLE LYNN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 337-7070
(414) 337-7093
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 337-7070
(414) 337-7093
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
25500
WV
2080P0208X
Pediatric Infectious Diseases Physician
Primary
67749
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013117456
—
WI
Enumeration date
07/24/2007
Last updated
04/08/2024
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