Individual
MICHELLE M AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 S SUNNY SLOPE RD, BROOKFIELD, WI 53005-6461
(262) 786-4550
Mailing address
150 S SUNNY SLOPE RD STE 136, BROOKFIELD, WI 53005-4858
(262) 786-4550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37094
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32159100
—
WI
Enumeration date
02/10/2006
Last updated
09/19/2023
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