Provider Demographics
NPI:1508291865
Name:KRIER, MICHELLE A (HIS)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:A
Last Name:KRIER
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 ELM ST
Mailing Address - Street 2:
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53095-3228
Mailing Address - Country:US
Mailing Address - Phone:262-334-4232
Mailing Address - Fax:262-334-5443
Practice Address - Street 1:623 ELM ST
Practice Address - Street 2:
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53095-3228
Practice Address - Country:US
Practice Address - Phone:262-334-4232
Practice Address - Fax:262-334-5443
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI969237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist