Individual
DR. LISA K MUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12901 W NATIONAL AVE, NEW BERLIN, WI 53151-4063
(262) 787-5200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 787-5200
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
53825
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100022536
—
WI
Enumeration date
04/03/2008
Last updated
10/13/2023
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