Dussault, Michael C

Dussault, Michael C is an individual health care provider with primary practice located at 248 Mchenry St , Burlington WI 53105-1828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dussault, Michael C can be contacted via phone (262) 767-8256.

Contact Information

Primary practice address
248 Mchenry St Burlington WI 53105-1828
Fax: (262) 767-8212
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 21659 Wisconsin

Profile Details

NPI number 1285749440
LBN Legal business name Dussault, Michael C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285749440 NPPES
Wisconsin MEDICAID 30248900

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