NPI 1033192091
Michael J. Phillips, M.D., S.C.
Practice location
- Address
- 791 E Summit Ave, Oconomowoc, WI 53066-3844
- Phone
- (262) 569-0619
- Fax
- (262) 569-0697
- Mailing address
- 6400 Industrial Loop, Greendale, WI 53129-2452
Authorised official
- Name
- Michael J Phillips
- Title
- President
- Phone
- (262) 569-0619
Registered specialties
Clinical Pathology/Laboratory Medicine Physician
Primary
Registry record
- NPI
- 1033192091
- Entity type
- Organization
- NPI issued
- 23 Nov 2005
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.