Individual
DR. MICHELLE M MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF RADIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3122
(414) 259-9290
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF RADIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3122
(414) 259-9290
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
41025
WI
2085R0202X
Diagnostic Radiology Physician
Primary
41025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004000215B
HUMANA
—
05
—
1821041567
—
WI
Enumeration date
05/17/2006
Last updated
07/06/2017
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