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NPI Code Detail

MEDICARE: BRETT B CARMICHAEL MD

MEDICARE:   BRETT B CARMICHAEL  MD
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
12085B0100XBody Imaging Physician01041871IN
22085N0700XNeuroradiology Physician01041871IN
32085N0904XNuclear Radiology Physician01041871IN
42085P0229XPediatric Radiology Physician01041871IN
52085R0202XDiagnostic Radiology Physician51675MN
62085R0202XDiagnostic Radiology Physician01041871IN
72085R0203XTherapeutic Radiology Physician01041871IN
82085R0204XVascular & Interventional Radiology Physician01041871IN
92085U0001XDiagnostic Ultrasound Physician01041871IN
102085R0202XDiagnostic Radiology Physician52011WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871587584
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRETT B CARMICHAEL MD
Provider Business Mailing Address
First Line : 1000 N OAK AVE
Second Line :
City : MARSHFIELD
State : WI
Zip : 54449-5703
Country : US
Telephone Number : 715-387-5511
Fax Number :
Provider Business Practice Location Address
First Line : 1000 N OAK AVE
Second Line :
City : MARSHFIELD
State : WI
Zip : 54449-5703
Country : US
Telephone Number : 715-387-5511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 11/17/2022

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Directions to “ BRETT B CARMICHAEL MD” Practice Location

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