Individual
MICHELLE MARIE SLEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
N6985 JOHNSONVILLE WAY, SHEBOYGAN FALLS, WI 53085
(920) 453-6207
Mailing address
12500 W BLUEMOUND RD STE 201, ELM GROVE, WI 53122-2600
(262) 787-2114
(920) 463-6229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
863
WI
363AS0400X
Surgical Physician Assistant
863-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42960700
—
WI
Enumeration date
11/17/2005
Last updated
11/23/2021
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