Individual
DR. MICHAEL THOMAS CHURCHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5000
Mailing address
W180N8085 TOWN HALL RD, PSYCHIATRY, MENOMONEE FALLS, WI 53051-3518
(262) 251-1000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
125056400
IL
2084P0800X
Psychiatry Physician
67120
WI
2084P0800X
Psychiatry Physician
Primary
69808
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306075270
—
WI
Enumeration date
07/13/2009
Last updated
08/13/2021
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