Individual
DR. MICHAEL NEILL SWEETNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5534 MEDICAL CIR, MADISON, WI 53719-1202
(608) 274-0355
(608) 274-5546
Mailing address
5534 MEDICAL CIR, MADISON, WI 53719-1202
(608) 274-0355
(608) 274-5546
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0778
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39029000
—
WI
Enumeration date
08/01/2006
Last updated
07/08/2007
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