Individual
MS. CRYSTAL MICHALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7511 S 73RD ST, FRANKLIN, WI 53132-9755
(414) 614-0257
Mailing address
7511 S 73RD ST, FRANKLIN, WI 53132-9755
(414) 614-0257
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35031500
—
WI
Enumeration date
06/26/2007
Last updated
07/08/2007
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