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NPI Code Detail

MEDICARE: MICHAELA MARIE PRYOR PA-C

MEDICARE: MICHAELA MARIE PRYOR PA-C
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
12086S0127XTrauma Surgery Physician8475-23WI
2363A00000XPhysician Assistant8475-23WI

General Provider Information

NPI Number : 1942177027
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAELA MARIE PRYOR PA-C
Provider Business Mailing Address
First Line : 400 N UNIVERSITY DR
Second Line :
City : WAUKESHA
State : WI
Zip : 53188-3176
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 700 S PARK ST
Second Line :
City : MADISON
State : WI
Zip : 53715-1830
Country : US
Telephone Number : 608-251-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2025
Last Update Date : 01/05/2026

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Directions to “ MICHAELA MARIE PRYOR PA-C” Practice Location

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