Individual
MICHELLE LEE FACER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4956 BULLIS FARM RD, EAU CLAIRE, WI 54701
(715) 831-3300
(715) 831-7958
Mailing address
4956 BULLIS FARM RD, EAU CLAIRE, WI 54701
(715) 831-3300
(715) 831-7958
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
44656
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000376
MEDICA
—
05
—
43498800
—
WI
01
—
HP60546
HEALTHPARTNERS
—
01
—
P00143300
RR MEDICARE
—
Enumeration date
03/14/2007
Last updated
05/01/2008
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