Individual
DR. MICHAEL BIRNDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6308 8TH AVE # 104, KENOSHA, WI 53143-5031
(262) 656-8237
(262) 656-8512
Mailing address
6308 8TH AVE # 104, KENOSHA, WI 53143-5031
(262) 656-8237
(262) 656-8512
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
33466-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31835100
—
WI
Enumeration date
08/09/2006
Last updated
07/08/2007
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