Individual
DR. MICHAEL R LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
39283
WI
208M00000X
Hospitalist Physician
39283
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002006261N
HUMANA
—
05
—
33326700
—
WI
Enumeration date
05/20/2006
Last updated
07/08/2024
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