Individual
DR. MICHAEL J KINCHELOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, #470, GREEN BAY, WI 54308-8900
(920) 288-8400
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29147
WI
207V00000X
Obstetrics & Gynecology Physician
4301405337
MI
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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