Wood, Michael B

Wood, Michael B is an individual health care provider with primary practice located at 6609 W Greenfield Ave , West Allis WI 53214-4958. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wood, Michael B can be contacted via phone (414) 257-8577.

Contact Information

Primary practice address
6609 W Greenfield Ave West Allis WI 53214-4958
Phone: (414) 257-8577
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2170-23 Wisconsin

Profile Details

NPI number 1053472878
LBN Legal business name Wood, Michael B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Aug 7th, 2023 - about 2 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 1053472878 NPPES
Wisconsin MEDICAID 41947300

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