Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael R Depew, PA

Individual provider Surgical Physician Assistant · NPI 1619032919

Michael R Depew, PA is a Physician Assistant in Manitowoc, Wisconsin. Qualified in 1997, 29 years ago. Practices with Froedtert Manitowoc Medical Group, LLC, a 157-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
29
Licensed in
WI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1650 S 41st St Lakeshore Orthopedics
Manitowoc, WI 54220
Phone: (920) 682-5233
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1419 (WI)

Record details

NPI number1619032919
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 27, 2006
Last updated in NPPESSeptember 24, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Froedtert Manitowoc Medical Group, Llc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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