MEDICARE: MICHAEL CHEW PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	13362	WI

General Provider Information

NPI Number	:	1760595649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL CHEW PHARM.D.

Provider Business Mailing Address
First Line	:	1915 N WATER ST
Second Line	:	UNIT 200
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-1577
Country	:	US
Telephone Number	:	414-278-0357
Fax Number	:

Provider Business Practice Location Address
First Line	:	1915 N WATER ST
Second Line	:	UNIT 200
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-1577
Country	:	US
Telephone Number	:	414-278-0357
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	07/08/2007

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