Mischel Marie Marshall, RD | |
2400 S 90th St, West Allis, WI 53227 | |
(414) 328-6214 | |
Not Available |
Full Name | Mischel Marie Marshall |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2400 S 90th St, West Allis, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1326160730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 164-002921 (Illinois) | Secondary |
133V00000X | Dietitian, Registered | 3790-29 (Wisconsin) | Primary |
Provider Name | Aurora Medical Group, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Provider Name | Lakeshore Medical Clinic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Mailing Address | Practice Location Address |
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Mischel Marie Marshall, RD Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Mischel Marie Marshall, RD 2400 S 90th St, West Allis, WI 53227 Ph: (414) 328-6214 |
Chelsea M Tauer, RDN, CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2400 S 90th St, Mob #112, West Allis, WI 53227 Phone: 414-328-7314 Fax: 414-328-6210 | |
Patrick Welscher, R.D., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7334 | |
Jody Montgomery, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7351 | |
Rebekah Genich, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2400 S 90th St, West Allis, WI 53227 Phone: 414-328-6210 | |
Sandy Sell, MNT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6214 | |
Commonwealth Medical Group, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 851 S 70th St, Suite 101, West Allis, WI 53214 Phone: 414-777-5100 Fax: 414-777-5112 |