Individual
MATTHEW JAMES MICHENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, DNP
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 729-3100
Mailing address
2109B E CAPITOL DR STE 1, APPLETON, WI 54911-8726
(844) 693-1482
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
226541-30
WI
Other
Enumeration date
08/03/2021
Last updated
09/16/2021
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