Individual
DR. MICHAEL LUTHER JORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4447 N OAKLAND AVE, SHOREWOOD, WI 53211
(414) 431-4322
(414) 431-4323
Mailing address
1110 N OLD WORLD 3RD ST STE 410, MILWAUKEE, WI 53203-1121
(414) 431-4322
(414) 431-4323
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1912
WI
Other
Enumeration date
05/23/2006
Last updated
12/04/2014
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