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PATRICIA A MICHELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
421 CAMELOT DR, FOND DU LAC, WI 54935-8335
(920) 926-8571
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
(920) 926-8370

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2635
WI
363LA2200X
Adult Health Nurse Practitioner
2635
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41267000
WI
01
P00265251
RAILROAD MEDICARE
WI
Enumeration date
11/14/2005
Last updated
08/03/2021
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