MEDICARE: DR. MICHAEL LUTHER JORN PHD

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	103TC0700X	Clinical Psychologist	1912	WI

General Provider Information

NPI Number	:	1073568697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL LUTHER JORN PHD

Provider Business Mailing Address
First Line	:	1110 N OLD WORLD 3RD ST STE 410
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53203-1121
Country	:	US
Telephone Number	:	414-431-4322
Fax Number	:	414-431-4323

Provider Business Practice Location Address
First Line	:	4447 N OAKLAND AVE
Second Line	:
City	:	SHOREWOOD
State	:	WI
Zip	:	53211
Country	:	US
Telephone Number	:	414-431-4322
Fax Number	:	414-431-4323

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	12/04/2014

Similar Medicare Providers

1700325602 — WISCONSIN VISION, LLC
Practice Location Address:

4163 N OAKLAND AVE
SHOREWOOD, WI
53211

Practice Phone: 414-455-8131
Practice Fax: 262-923-7606

1073504593 — MS. MARY E FAZIO R.N.
Practice Location Address:

4520 N ARDMORE AVE
SHOREWOOD, WI
53211-1401

Practice Phone: 414-870-4121
Practice Fax: 414-961-2435

1841281367 — HEALTH AND WELLNESS CLINIC OF SHOREWOOD, S.C.
Practice Location Address:

3510 N OAKLAND AVE , SUITE 200
SHOREWOOD, WI
53211-2746

Practice Phone: 414-967-9440
Practice Fax: 414-967-9450

1326019548 — GFI RADIOLOGY INC
Practice Location Address:

4601 N OAKLAND AVE
SHOREWOOD, WI
53211-1232

Practice Phone: 414-964-4601
Practice Fax: 414-964-4616

1144289588 — MS. MARY J BRILL LCSW
Practice Location Address:

4433 N OAKLAND AVE , SUITE D
SHOREWOOD, WI
53211-1600

Practice Phone: 414-906-1445
Practice Fax: 414-906-1445

1417904756 — METROPOLITAN MEDICAL CENTER, LLC
Practice Location Address:

4495 N OAKLAND AVE
SHOREWOOD, WI
53211-1611

Practice Phone: 414-967-3550
Practice Fax: 414-967-3551

Directions to “ DR. MICHAEL LUTHER JORN PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.