Provider Demographics
NPI:1972532604
Name:NEMEROW, MICHELE JULIE (DC)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:JULIE
Last Name:NEMEROW
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 HUNTER HILL CT
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-5824
Mailing Address - Country:US
Mailing Address - Phone:715-386-1840
Mailing Address - Fax:
Practice Address - Street 1:86 COULEE ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-2371
Practice Address - Country:US
Practice Address - Phone:715-386-2424
Practice Address - Fax:715-386-2426
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4221-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor