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Individual

MAIA I MICHELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
9002 W LISBON AVE UNIT 312, MILWAUKEE, WI 53222-2733
(414) 962-0138
Mailing address
9002 W LISBON AVE UNIT 312, MILWAUKEE, WI 53222-2733
(414) 962-0138

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
174300-30
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
174300-30
STATE OF WISCONSIN RN LICENSE
WI
Enumeration date
04/25/2013
Last updated
04/25/2013
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