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MRS. CAROL MARGARET MICHELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
4103 60TH ST, KENOSHA, WI 53144-2509
(262) 652-1111
(262) 652-1124
Mailing address
4103 60TH ST, KENOSHA, WI 53144-2509
(262) 652-1111
(262) 652-1124

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3536-026
WI

Other

Enumeration date
03/23/2009
Last updated
03/23/2009
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