Individual
DR. MICHAEL JAY PATNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
820 E GRANT ST, APPLETON, WI 54911-3483
(920) 831-5050
(920) 738-6400
Mailing address
1728 HARRINGTON PARK DR, JACKSONVILLE, FL 32225-2685
(904) 251-5683
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
70690
WI
207X00000X
Orthopaedic Surgery Physician
OS9041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260255288A
—
GA
05
—
2678934-00
—
FL
01
—
P01087488
RAILROAD MEDICARE
FL
Enumeration date
03/29/2006
Last updated
05/30/2019
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