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MICHAEL THOMAS TRAINOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
3289 N MAYFAIR RD, WAUWATOSA, WI 53222-3203
(414) 771-7900
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085008285
IL
363A00000X
Physician Assistant
10003391A
IN
363A00000X
Physician Assistant
Primary
4749
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100091131
WI
05
1114582541
WI
Enumeration date
05/01/2019
Last updated
02/21/2024
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