Elizabeth Louise Dickson Michelson, M. D.
Obstetrics & Gynecology, Gynecologic Oncology in Milwaukee, WI. Individual provider (NPI-1).
NPI number1669664744
StatusActive
Last updated in NPPESJan 30, 2023
Details
- NPI
- 1669664744
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Louise Dickson Michelson
- Credential
- M. D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2007
- Certification date
- Jan 30, 2023
- Last updated
- Jan 30, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GYNECOLOGICAL ONCOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology, Gynecologic Oncology | 63396 | WI | Yes |
Other names
- Elizabeth Louise Dickson (Former Name)
Practice location
8901 W Lincoln AveMilwaukee, WI 53227-2409
Phone 424-328-6000
Mailing address
8901 W Lincoln AveMilwaukee, WI 53227-2409
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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