Pugnale, Michael Anthony

Pugnale, Michael Anthony is an sole proprietor health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142-7884. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Pugnale, Michael Anthony can be contacted via phone (262) 945-5600.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142-7884
Phone: (262) 945-5600
Fax: (262) 948-5735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036143414 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 125063129 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 101260 Wisconsin

Profile Details

NPI number 1881031474
LBN Legal business name Pugnale, Michael Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2013
Last updated Feb 1st, 2024 - about 10 months 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 1881031474 NPPES
Wisconsin MEDICAID 100255476

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