Search › Wisconsin › 363A00000X
Michael Church, PA-C
NPI 1164056727 · on the registry since 2020
Practice
- Address
- 6308 8th Ave
Kenosha, WI 53143 - Phone
- (262) 656-2011
- Organisation at this address
- Ihc Hospitalists Llc
Ctvsa Wisconsin S.C.
Froedtert South, Inc.
Cook Medical Assoc Ltd
Kenosha Vascular Lab IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 89
Additional practice sites
- 636 Manhattan Rd Se, Grand Rapids, MI
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
363AM0700X - Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin