Provider Demographics
NPI:1528391331
Name:SONNEY-KAMANSKI, MICHAEL J (RN)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:SONNEY-KAMANSKI
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2280 MOUNT KISCO DR
Mailing Address - Street 2:
Mailing Address - City:ELM GROVE
Mailing Address - State:WI
Mailing Address - Zip Code:53122-1155
Mailing Address - Country:US
Mailing Address - Phone:262-814-1706
Mailing Address - Fax:
Practice Address - Street 1:2280 MOUNT KISCO DR
Practice Address - Street 2:
Practice Address - City:ELM GROVE
Practice Address - State:WI
Practice Address - Zip Code:53122-1155
Practice Address - Country:US
Practice Address - Phone:262-814-1706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI95272-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse