Individual
VANESSA MICHALICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
8333 BIDDLE AVE, HENRY FORD WYANDOTTE HOSPITAL, WYANDOTTE, MI 48192
(734) 246-7086
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23187
WI
208600000X
Surgery Physician
5101023023
MI
Other
Enumeration date
03/13/2017
Last updated
10/04/2022
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