MEDICARE: MICHAEL J SAUNDERS 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
1	207Q00000X	Family Medicine Physician	26175	WI

General Provider Information

NPI Number	:	1558351056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL J SAUNDERS MD

Provider Business Mailing Address
First Line	:	PO BOX 1510
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54702-1510
Country	:	US
Telephone Number	:	608-785-0940
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 BUTTS AVE
Second Line	:
City	:	TOMAH
State	:	WI
Zip	:	54660-1412
Country	:	US
Telephone Number	:	608-372-5951
Fax Number	:	608-372-3436

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

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	12/16/2021

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