Individual
LAURA CHRISTIAN MICHAELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-4600
(414) 805-6805
Mailing address
9200 W WISCONSIN AVE, NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-4600
(414) 805-6805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036109466
IL
207RH0003X
Hematology & Oncology Physician
036109466
IL
207RH0003X
Hematology & Oncology Physician
Primary
61626
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902971385
—
WI
Enumeration date
11/21/2006
Last updated
04/07/2023
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