Individual
MICHAEL E PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2253 W MASON ST, GREEN BAY, WI 54303-4706
(920) 327-7250
(920) 327-7249
Mailing address
2253 W MASON ST, GREEN BAY, WI 54303-4706
(920) 327-7250
(920) 327-7249
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24409
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30603600
—
WI
Enumeration date
07/20/2006
Last updated
09/29/2008
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