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NPI 1619023645

NPI 1619023645 : MICHAEL BELL, MD LLC : MILWAUKEE, WI

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General NPI Number Information
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    NPI Number           |    1619023645
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    Entity Type          |    Organization 
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    Legal Business Name  |    MICHAEL BELL, MD LLC 
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Dates
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    Enumeration Date     |    01/25/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    100A E PLEASANT ST SUITE 1W2
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    City                 |    MILWAUKEE
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    State                |    WI
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    Zip                  |    53212-3975
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    Country              |    US
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    Telephone            |    414-264-7995
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    Fax                  |    414-265-7996
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Provider Business Mailing Address
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    Address Line         |    100A E PLEASANT ST SUITE 1W2
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    City                 |    MILWAUKEE
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    State                |    WI
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    Zip                  |    53212-3975
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    Country              |    US
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    Telephone            |    414-264-7995
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    Fax                  |    414-265-7996
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. MICHAEL A BELL 
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    Credential           |    MD
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    Telephone            |    414-264-7995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    46791 020
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    License Number State |    WI
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