Agnew, Michelle M
Agnew, Michelle M is an individual health care provider with primary practice located at 150 S Sunny Slope Rd , Brookfield WI 53005-6461. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Agnew, Michelle M can be contacted via phone (262) 786-4550.Contact Information
Primary practice address
150 S Sunny Slope Rd
Brookfield WI 53005-6461
Phone: (262) 786-4550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 37094 | Wisconsin |
Profile Details
| NPI number | 1720051550 |
|---|---|
| LBN Legal business name | Agnew, Michelle M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Sep 19th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720051550 | NPPES |
| Wisconsin | MEDICAID | 32159100 |
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