Provider Demographics
NPI:1598286486
Name:BRIELMAIER, MICHELE (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:BRIELMAIER
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3082 S WENTWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207-3066
Mailing Address - Country:US
Mailing Address - Phone:414-839-3330
Mailing Address - Fax:
Practice Address - Street 1:3082 S WENTWORTH AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53207-3066
Practice Address - Country:US
Practice Address - Phone:414-839-3330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-29
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI407-055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty