Individual
MICHAEL LEE MINDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RCP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3082
Mailing address
7830 W CLARKE ST, WAUWATOSA, WI 53213-1145
(414) 257-2705
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
119
WI
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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