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Michael James Church, PA-C
Medical Physician Assistant in Kenosha, Wisconsin
NPI 1164056727

Michael James Church is a Medical Physician Assistant based in Kenosha, WI and is specialized in Medical. Michael James Church practices in Kenosha, WI and has the professional credentials of PA-C. The NPI Number for Michael James Church is 1164056727 and holds a License No. 5119-23 (Wisconsin).

The current practice location address for Michael James Church is 6308 8Th Ave, Kenosha, WI and can be reached out via phone at 262-656-2011.

Location: 6308 8Th Ave, Kenosha, WI, 53144-3463
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164056727
Provider Name
Michael James Church
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
6308 8Th Ave, Kenosha, WI, 53144-3463
Phone Number
262-656-2011
Fax Number
Provider Enumeration Date
02/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6308 8Th Ave
City
Kenosha
State
Wisconsin
Zip
53143-5031
Phone Number
262-656-2011
Fax Number
person
Provider Business Mailing Address Details
Address
6308 8Th Ave
City
Kenosha
State
Wisconsin
Zip
53143-5031
Phone Number
262-656-2011
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
5119-23 (Wisconsin)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5119-23 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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