Individual
DR. MATTHEW M MICHALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38867
WI
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
38867
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32334300
—
WI
Enumeration date
10/16/2006
Last updated
12/21/2020
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