Individual
MICHELLE BREGENZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3809 SPRING ST, MOUNT PLEASANT, WI 53405-1667
(262) 687-5000
Mailing address
2520 ELISHA AVE, ZION, IL 60099-2676
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209005840
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364306053
TAX ID #
IL
Enumeration date
05/17/2006
Last updated
01/22/2024
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