Individual
MICHAEL PHILIPPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 N WESTFIELD ST, OSHKOSH, WI 54902-3217
(920) 233-2340
Mailing address
91 3RD ST, FOND DU LAC, WI 54935-4465
(920) 573-5088
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1725-19
WI
Other
Enumeration date
11/29/2017
Last updated
03/17/2018
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