Individual
MR. MICHAEL ANDREW CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1828 S LEE ST, APPLETON, WI 54915-4261
(563) 505-9271
Mailing address
1828 S LEE ST, APPLETON, WI 54915-4261
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04210292
WI
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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