Individual
MICHAEL J NUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7401 104TH AVE, SUITE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314
Mailing address
7401 104TH AVE, SUITE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
778
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43225200
—
WI
01
—
480026197
RR MEDICARE #
WI
Enumeration date
05/22/2006
Last updated
09/19/2018
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