Individual
DR. MICHAEL LOYAL CUMMENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1803 N DAVIES DR, OCONOMOWOC, WI 53066-9216
(262) 646-8304
Mailing address
1803 N. DAVIES DR., OCONOMOWOC, WI 53066
(262) 646-8304
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24666
WI
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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