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NPI Code Detail

MEDICARE: MR. MICHAEL RINTELMAN LPC

MEDICARE: MR. MICHAEL RINTELMAN LPC
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
1101YP2500XProfessional Counselor4373-125WI

General Provider Information

NPI Number : 1649503988
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL RINTELMAN LPC
Provider Business Mailing Address
First Line : 130 FRIENDSHIP LN
Second Line :
City : SAUKVILLE
State : WI
Zip : 53080-1665
Country : US
Telephone Number : 262-617-7730
Fax Number :
Provider Business Practice Location Address
First Line : 6045 N GREEN BAY AVE
Second Line :
City : GLENDALE
State : WI
Zip : 53209-3811
Country : US
Telephone Number : 414-333-1213
Fax Number : 920-982-5040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2009
Last Update Date : 03/28/2012

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Directions to “ MR. MICHAEL RINTELMAN LPC” Practice Location

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