Rissell, Michael T

Rissell, Michael T is an individual health care provider with primary practice located at 2801 W Kinnickinnic River Pkwy Ste 170, Milwaukee WI 53215-3669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Rissell, Michael T can be contacted via phone (414) 385-1277.

Contact Information

Primary practice address
2801 W Kinnickinnic River Pkwy Ste 170 Milwaukee WI 53215-3669
Fax: (414) 385-8730
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 34271 Wisconsin

Profile Details

NPI number 1558341370
LBN Legal business name Rissell, Michael T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Nov 14th, 2011 - about 15 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 1558341370 NPPES
Wisconsin MEDICAID 31912700

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