Individual
MR. MICHAEL M DI IORIO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
941 SPAIGHT ST, MADISON, WI 53703-3572
(608) 257-9164
Mailing address
941 SPAIGHT ST, MADISON, WI 53703-3572
(608) 257-9164
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310684-031
WI
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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