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Contact Information

MICHAEL A PUGNALE, MD
10400 75TH ST
KENOSHA, WI53142-7884
 Phone: 262-945-5600
 Fax: 262-948-5735
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for MICHAEL A PUGNALE · (Male)

NPI # 1881031474
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2013
Last updated 08/29/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036143414
  • IL License # 125063129
  • WI License # 101260
  • WI Medicaid 100255476
Hospital affiliation(s)
  • NORTHWEST COMMUNITY HOSPITAL - (Acute Care)
    800 W CENTRAL ROAD
    ARLINGTON HEIGHTS, IL 60005
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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