Individual
MICHAEL A. LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-5990
Mailing address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-5990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42188
WI
208000000X
Pediatrics Physician
42188
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32647500
—
WI
Enumeration date
02/07/2006
Last updated
07/21/2023
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