Individual
MICHELLE METALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R N, CDE
Contact information
Practice address
1020 35TH ST, KENOSHA, WI 53140-1932
(262) 925-1449
Mailing address
1020 35TH ST, KENOSHA, WI 53140-1932
(262) 925-1449
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
146961-30
WI
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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