Individual
MISS MICHELLE MARIE LANOUETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS PT, NCS
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
6203 W WELLS ST, WAUWATOSA, WI 53213-3247
(414) 384-2000
(414) 382-5331
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4711
WI
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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