Individual
MICHAEL I. LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12203 CORPORATE PKWY, MEQUON, WI 53092-3388
(262) 387-8200
(262) 387-8271
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
48906
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34848000
—
WI
01
—
P00479346
RR MEDICARE
WI
Enumeration date
07/10/2006
Last updated
10/02/2023
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