Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 73357 | ZZ |
Y | 207SG0201X | Clinical Genetics (M.D.) | 75028-20 | WI |
N | 208000000X | Pediatrician | 73357 | ZZ |
NPI | 1083126494 |
---|---|
Provider Name | Michael Stephen Meyn |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53705-2274 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2017 |
Last Update Date | 08/06/2021 |