Individual
DR. MICHAEL MARLOWE MCNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3305 S 20TH ST STE 100, MILWAUKEE, WI 53215-4940
(414) 645-1984
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
53179
WI
207QA0505X
Adult Medicine Physician
36065355
IL
208VP0000X
Pain Medicine Physician
Primary
53179
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100020099
—
WI
Enumeration date
05/17/2006
Last updated
07/21/2022
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