Individual
MICHELLE L HUVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4400
(414) 805-4369
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4400
(414) 805-4369
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2290
WI
363AM0700X
Medical Physician Assistant
2290-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164684114
—
WI
01
—
P01001618
RR MEDICARE
WI
Enumeration date
07/01/2008
Last updated
03/03/2022
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