Individual
MS. MICHELLE S. FAULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
(608) 324-1246
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
(608) 324-1246
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
56935-21
WI
Other
Enumeration date
07/21/2011
Last updated
12/29/2020
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