Individual
MICHAEL MURIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 266-2979
(414) 266-1616
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2979
(414) 266-1616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125060590
IL
207SG0201X
Clinical Genetics (M.D.) Physician
69347
WI
208000000X
Pediatrics Physician
125060590
IL
208000000X
Pediatrics Physician
Primary
69347
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740577634
—
WI
Enumeration date
06/30/2011
Last updated
03/04/2024
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