Provider Demographics
NPI:1912970120
Name:UY, MICHAEL M (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:M
Last Name:UY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:N17 W24100 RIVERWOOD DRIVE SUITE 250
Mailing Address - Street 2:PROHEALTH CARE MEDICAL ASSOCIATES INC
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-1177
Mailing Address - Country:US
Mailing Address - Phone:262-928-4100
Mailing Address - Fax:262-928-5835
Practice Address - Street 1:1500 WALNUT RIDGE DRIVE
Practice Address - Street 2:PROHEALTH CARE MEDICAL ASSOCIATES
Practice Address - City:HARTLAND
Practice Address - State:WI
Practice Address - Zip Code:53029
Practice Address - Country:US
Practice Address - Phone:262-928-7500
Practice Address - Fax:262-367-8744
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2011-11-09
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Provider Licenses
StateLicense IDTaxonomies
WI33452207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI31882800Medicaid
WI000868295Medicare PIN
WIF46987Medicare UPIN
WI31882800Medicaid