Most Relevant Information
Provider Data
| NPI Number: | 1003040601 |
| Provider Name: | MICHAEL JEROME WRIGHT PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 261QP2000X |
| Specialty: | Clinic/Center |
| License Number: | 149019 |
Most Important Dates
| Enumeration Date: | 05/11/2009 |
| Last Updated: | 05/11/2009 |
Provider Practice Location
2020 W WELLS ST
MILWAUKEE
WI
532332720
Practice Location Phone/Fax
| Phone: | 4149372020 |
| Fax: | 4149372021 |
Provider Mailing Location
2020 W WELLS ST
MILWAUKEE
WI
532332720
Provider Mailing Phone/Fax
| Phone: | 4149372020 |
| Fax: | 4149372021 |