MICHELLE L CIHLA (NPI# 1376599324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376599324 |
| Entity Type | Individual |
| Full Name | MICHELLE L CIHLA |
| Credential | MD |
| Practice Address |
1400 Scheuring Rd De Pere WI 54115-1067 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 9209640229 |
| Practice Fax Number | 9209640248 |
| Mailing Telephone | 9206639008 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 01083642A | IN | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 65970 | MN | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 32428 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEA | BC2940206 | 01 |
| WI | RAILROAD MEDICARE | P00609404 | 01 |
| WI | 32059700 | 05 | |
| WI | STATE LICENSE | 32428020 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 715 Superior Rd Ste 120, Green Bay, WI 543117595 | 9204069803 | 9204069934 |
| 2806 Riverview Dr, Green Bay, WI 543136717 | 9204987546 | 9205694129 |
| 1875 Woodwinds Dr Ste 240, Woodbury, MN 551252517 | 6517357928 | 6129207548 |
| 14165 James Rd Ste 107, Rogers, MN 553749420 | 7635156200 | 7635156202 |
| 2351 State Road 44, Oshkosh, WI 549046333 | 9206518855 | 9203850287 |
| 3515 Murray St, Marinette, WI 541433367 | 7157320699 | 7157323522 |
| 900 E Division St, Wautoma, WI 549826944 | 9207870837 | 9207876903 |
| W7713 Johnson Ct, Wautoma, WI 549825274 | 9208951004 | 9208951005 |
| 4020 New Vision Dr, Fort Wayne, IN 468451737 | 2604232567 | 7656627560 |
| 330 N Wabash Ave Ste 360, Marion, IN 469522678 | 7656643292 | 7656627560 |
| Street Address |
1400 SCHEURING RD |
| City | DE PERE |
| State | WI |
| Zip Code | 54115-1067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124145040 | Lisa Lynne Butenhoff Campbell | Dermatology | 1400 Scheuring Rd, De Pere, WI 54115 | 2007-03-24 |
| 1083657555 | David Eugene Bertler | Dermatology | 1400 Scheuring Rd, De Pere, WI 54115-1067 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
| 1568928083 | Stephanie J Towle | Speech-Language Pathologist | 200 S. 9th St, De Pere, WI 54115 | 2019-02-20 |
| 1164988499 | Maribel L Zoeller | Physical Therapy Assistant | 200 S. 9th Street, Depere, WI 54115 | 2019-02-12 |
| 1255897641 | Elizabeth Eberius | Acupuncturist | 3311 S. Packerland Drive, Suite A #20, De Pere, WI 54115 | 2019-02-11 |
| 1548750458 | Jordyn E Arndt | Physical Therapist | 1601 Lawrence Dr Ste 100, De Pere, WI 54115 | 2018-05-16 |
| 1588153514 | David Nowakowski | Registered Nurse | 158 Cavil Way, De Pere, WI 54115 | 2018-05-04 |
| 1457858557 | Rennes Assisted Living Corp. | Assisted Living Facility | 1150 Lois Street, Depere, WI 54115 | 2018-04-06 |
| 1518473966 | Kirsten Lynne Masrelian | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115 | 2017-12-21 |
| 1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
| 1134666514 | Nicole L Bickham | Psychologist | 416 George St Ste 108, De Pere, WI 54115 | 2017-01-24 |
| Find all providers in zip 54115 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124145040 | Lisa Lynne Butenhoff Campbell | Dermatology | 1400 Scheuring Rd, De Pere, WI 54115 | 2007-03-24 |
| 1083657555 | David Eugene Bertler | Dermatology | 1400 Scheuring Rd, De Pere, WI 54115-1067 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016596 | Dermatology and Cosmetic Physicians, Sc | Dermatology | W5192 Rienzi Rd, Fond Du Lac, WI 54935-9603 | 2018-06-11 |
| 1194248013 | Kyle Erick Rudningen | Dermatology | Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-07-23 |
| 1194255521 | Rhonda Ganansky | Dermatology | W1383 N Bloomfield Rd, Lake Geneva, WI 53147-4429 | 2017-06-18 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1982066239 | Margaret Coleman Maxi | Dermatology | 188 Rockwood Ln Ste A, Neenah, WI 54956-1983 | 2016-03-25 |
| 1447612312 | Andrew C Duncanson | Dermatology | 510 N 17th Ave Ste C, Wausau, WI 54401-4281 | 2016-03-22 |
| 1225411481 | Gabriela A Maloney | Dermatology | 17100 W North Ave Ste 200, Brookfield, WI 53005-4489 | 2015-07-07 |
| 1043604424 | Marthe Ngongang Dika | Dermatology | 10500 W Loomis Rd Ste 110, Franklin, WI 53132-8030 | 2015-03-24 |
| 1902205206 | Affiliated Dermatologists | Dermatology | N96w17035 Division Rd, Suite A, Germantown, WI 53022-6419 | 2014-08-22 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.