Individual
MICHELLE J WADEWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
4448 W LOOMIS RD, GREENFIELD, WI 53220-4800
(414) 281-5150
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 817-3444
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
541-156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004916
—
WI
Enumeration date
08/14/2009
Last updated
09/21/2023
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