Individual
MICHELE A BJELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3541 PLOVER RD, WISCONSIN RAPIDS, WI 54494-2155
(715) 423-5423
Mailing address
1908 LYNDA LN, STEVENS POINT, WI 54481-6025
(715) 345-9779
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2445154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42799700
—
WI
Enumeration date
05/14/2007
Last updated
02/28/2008
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