Individual
THERESA A MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
605 OZARK TRL, MADISON, WI 53705-2540
(608) 231-9699
Mailing address
605 OZARK TRL, MADISON, WI 53705-2540
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
676
WI
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
676
WI
Other
Enumeration date
03/20/2006
Last updated
02/18/2020
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