Bensen, Michelle A.

Bensen, Michelle A. is an individual health care provider with primary practice located at 34700 Valley Rd , Oconomowoc WI 53066-4500. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Bensen, Michelle A. can be contacted via phone (262) 646-4411.

Contact Information

Primary practice address
34700 Valley Rd Oconomowoc WI 53066-4500
Phone: (262) 646-4411
Fax: (262) 646-1049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 38279 Wisconsin
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 38279 Wisconsin
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 38279 Wisconsin

Profile Details

NPI number 1821193491
LBN Legal business name Bensen, Michelle A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Feb 23rd, 2017 - about 8 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821193491 NPPES
Wisconsin MEDICAID APPR
Wisconsin MEDICAID 32484300

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