Dr Tom Gelhaus | |
202 Central Ave Owen WI 54460-0371 | |
(715) 229-2299 | |
Not Available |
Full Name | Dr Tom Gelhaus |
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Speciality | Clinic/center - Dental |
Location | 202 Central Ave, Owen, Wisconsin |
Authorized Official Name and Position | Thomas Gelhaus (OWNER) |
Authorized Official Contact | 7152292299 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr Tom Gelhaus N16408 County Road D Owen WI 54460-9332 Ph: () - | Dr Tom Gelhaus 202 Central Ave Owen WI 54460-0371 Ph: (715) 229-2299 |
NPI Number | 1245837657 |
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Provider Enumeration Date | 10/08/2020 |
Last Update Date | 10/08/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245837657 | NPI | - | NPPES |
1912006438 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Owen Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 N Central Ave, Owen, WI 54460 Phone: 715-229-2299 |