SearchWisconsin101YA0400X

Rick Miceli-Wink, CSAC

NPI 1821361833 · on the registry since 2012

Practice

Address
3150 Gershwin Dr
Green Bay, WI 54311
Phone
(920) 448-6219
Fax
(920) 391-4870
Organisation at this address
County Of Brown
County Of Brown
County Of Brown
County Of Brown
County Of Brown
Inferred from a shared address, not stated in the registry.
Clinicians at this address
51

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
1041C0700X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-02-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin