Individual
MICHELLE A LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 S HERITAGE WOODS DR, APPLETON, WI 54915-1408
(920) 225-7875
(920) 993-5003
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43331-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34120700
—
WI
Enumeration date
07/10/2006
Last updated
02/06/2026
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