Individual
DR. MICHAEL ALAN PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9555 76TH ST, PLEASANT PRAIRIE, WI 53158-1984
(262) 656-2211
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
50414-20
WI
2085R0202X
Diagnostic Radiology Physician
G70181
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G701810
—
CA
05
—
1932204146
—
IL
05
—
1932204146
—
WI
01
—
P00761614
MEDICARE RAILROAD
WI
Enumeration date
09/13/2006
Last updated
12/24/2021
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