Phillips, Michael J

Phillips, Michael J is an individual health care provider with primary practice located at 791 E Summit Ave , Oconomowoc WI 53066-3844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Phillips, Michael J can be contacted via phone (262) 569-0619.

Contact Information

Primary practice address
791 E Summit Ave Oconomowoc WI 53066-3844
Phone: (262) 569-0619
Fax: (262) 569-0697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 20932-020 Wisconsin

Profile Details

NPI number 1124001938
LBN Legal business name Phillips, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124001938 NPPES
Wisconsin MEDICAID 30427100

Popular Providers