Individual
MICHELLE M MINDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
N65W24838 MAIN ST, UNIT 400, SUSSEX, WI 53089-2670
(262) 246-6822
Mailing address
903 BROADMOORE DR, HARTFORD, WI 53027-2701
(414) 438-0919
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2675-033
WI
Other
Enumeration date
01/26/2007
Last updated
03/07/2023
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