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MR. MICHAEL LEO WALLNER M.S. LPC NCC NPI 1861521403


NPI Information

NPI: 1861521403
Provider Name: MR. MICHAEL LEO WALLNER, M.S., LPC, NCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
6040 W LISBON AVE STE 103
MILWAUKEE, WI
ZIP 53210
Phone: (414) 442-1751
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MR. Michael Leo Wallner, M.S., LPC, NCC is a professional counselor in Milwaukee, WI. MR. Michael Leo Wallner, M.S., LPC, NCC NPI is 1861521403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6040 W LISBON AVE STE 103
MILWAUKEE, WI
ZIP 53210-116
Phone: (414) 442-1751
Fax: (414) 442-1775

The enumeration date for this NPI number is 3/2/2007 and was last updated on 11/10/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessional3935-125WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
143703400MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.