Cavanaugh, Michael W

Cavanaugh, Michael W is an individual health care provider with primary practice located at 500 Vincent St , Stevens Point WI 54481-1842. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Cavanaugh, Michael W can be contacted via phone (715) 344-0701.

Contact Information

Primary practice address
500 Vincent St Stevens Point WI 54481-1842
Phone: (715) 344-0701
Fax: (715) 344-4494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 1864-023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1864-23 Wisconsin

Profile Details

NPI number 1538161278
LBN Legal business name Cavanaugh, Michael W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Mar 1st, 2023 - about 2 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 1538161278 NPPES
Wisconsin MEDICAID 42870400

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