Deeken, Michael

Deeken, Michael is an individual health care provider with primary practice located at 1220 Dewey Ave , Wauwatosa WI 53213-2504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Deeken, Michael can be contacted via phone (414) 454-6600.

Contact Information

Primary practice address
1220 Dewey Ave Wauwatosa WI 53213-2504
Phone: (414) 454-6600
Fax: (414) 454-6522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 27956 Wisconsin
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 27956 Wisconsin

Profile Details

NPI number 1851337646
LBN Legal business name Deeken, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Dec 9th, 2011 - about 13 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 1851337646 NPPES
Wisconsin MEDICAID 31368000

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