Individual
ELIZABETH LOUISE DICKSON MICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
8901 W LINCOLN AVE, MILWAUKEE, WI 53227-2409
(424) 328-6000
Mailing address
8901 W LINCOLN AVE, MILWAUKEE, WI 53227-2409
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
63396
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016638
—
WI
Enumeration date
08/13/2007
Last updated
01/30/2023
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