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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1962497370 NPPES
Wisconsin MEDICAID 31577700

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