Li, Mitchell Louis Judge

Li, Mitchell Louis Judge is an individual health care provider with primary practice located at 420 E Division St , Fond Du Lac WI 54935-4560. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Li, Mitchell Louis Judge can be contacted via phone (920) 926-4600.

Contact Information

Primary practice address
420 E Division St Fond Du Lac WI 54935-4560
Phone: (920) 926-4600
Fax: (920) 926-4869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301106252 Michigan
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 65823-20 Wisconsin

Profile Details

NPI number 1932442464
LBN Legal business name Li, Mitchell Louis Judge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2013
Last updated Jun 27th, 2019 - about 5 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 1932442464 NPPES
Michigan Other 4301106252 MI LIMITED LICENSE NUMBER

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