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NPI Code Detail

MEDICARE: MICHELLE VAN ERT

MEDICARE: MICHELLE VAN ERT
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
1183500000XPharmacist17074-40WI

General Provider Information

NPI Number : 1366835779
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE VAN ERT
Provider Business Mailing Address
First Line : 900 E RIVERVIEW EXPY
Second Line :
City : WISCONSIN RAPIDS
State : WI
Zip : 54494-5482
Country : US
Telephone Number : 715-631-7177
Fax Number : 715-631-7175
Provider Business Practice Location Address
First Line : 900 E RIVERVIEW EXPY
Second Line :
City : WISCONSIN RAPIDS
State : WI
Zip : 54494-5482
Country : US
Telephone Number : 715-423-2585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2015
Last Update Date : 05/07/2026

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Directions to “ MICHELLE VAN ERT ” Practice Location

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