| Doctor Name: | MR. MICHAEL JEROME WRIGHT |
| NPI Number: | 1003040601 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PTA |
| License Number: | 149019 |
| Business Practice Address: | 2020 W Wells St Milwaukee, WI - 532332720 |
| Business Phone Number: | 4149372020 |
| Business Fax Number: | 4149372021 |
| Mailing Address: | 2020 W Wells St, MILWAUKEE |
| State: | WI |
| Postal Code: | 532332720 |
| Phone Number: | 4149372020 |
| Fax Number: | 4149372021 |
| NPI Enumeration Date: | 05/11/2009 |
| NPI Last Update Date: | 05/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 149019 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |