Individual
MICHAEL D D'AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4202 W. OAKWOOD PARK CT, STE 200, FRANKLIN, WI 53132-8131
(414) 423-5250
(414) 423-5256
Mailing address
100-15TH AVE., STE. 180, SOUTH MILWAUKEE, WI 53172-1160
(414) 423-5250
(414) 423-5256
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36911
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32195100
—
WI
Enumeration date
11/01/2006
Last updated
06/29/2022
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