Wage, Michael L
Wage, Michael L is an individual health care provider with primary practice located at 1411 N Briarcliff Dr , Appleton WI 54915-2842. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wage, Michael L can be contacted via phone (920) 730-0160.Contact Information
Primary practice address
1411 N Briarcliff Dr
Appleton WI 54915-2842
Phone: (920) 730-0160
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25737 | Wisconsin |
Profile Details
NPI number | 1962497370 |
---|---|
LBN Legal business name | Wage, Michael L |
Credentials | MD, PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 13th, 2005 |
Last updated | Jun 20th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962497370 | NPPES |
Wisconsin | MEDICAID | 31577700 |
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