Physician Assistant
MICHAEL CHURCH PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1164056727 · enumerated 2020-02-23 · record updated 2020-09-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 3108 MARKET LN APT 804, KENOSHA, WI, 53144-3463 (616) 295-5062 Google Maps Apple Maps OpenStreetMap
- Practice location 6308 8TH AVE, KENOSHA, WI, 53143-5031 (262) 656-2011 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 5119-23 WI
- Student in an Organized Health Care Education/Training Program 390200000X
- Physician Assistant, Medical 363AM0700X · License 5119-23 WI
In this directory
Locations and evidence
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Practice location
KENOSHA, WI, 531435031
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.