Individual
GERALD MICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9636 LOIS LN, APPLETON, WI 54914-9024
(920) 450-9794
Mailing address
9636 LOIS LN, APPLETON, WI 54914-9024
(920) 450-9794
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22811
WI
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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