Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE AGNEW
ActiveMICHELLE AGNEW is a 163WM1400X healthcare provider located in BEAVER DAM, Wisconsin. NPI 1710841911 is currently active in the NPPES registry. Verify at CMS.
163WM1400X · BEAVER DAM, WI
Registration Details
- NPI Number
- 1710841911
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2025 (0.71566767741182 yrs)
- Last Updated
- Dec 11, 2025
- License
-
22933330 (WI)
Practice Information
- Address
-
215 CORPORATE DR STE DBEAVER DAM, WI, 539163124Browse WI providers · Browse ZIP 53916
- Phone
- 9203569415
- Primary Specialty
-
163WM1400X
163WM1400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.