Individual
MICHAEL J HARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
38285
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2405211091
BCBS OF MICHIGAN
MI
05
—
5212560
—
MI
01
—
P00459642
RAILROAD MEDICARE
MI
Enumeration date
10/04/2006
Last updated
04/05/2021
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