| Gerald T Mikel Family Dentistry Sc | |
|
3312 Tower Avenue Superior WI 54880 | |
| (715) 392-1132 | |
| (715) 392-2333 |
| Full Name | Gerald T Mikel Family Dentistry Sc |
|---|---|
| Speciality | Dentist |
| Location | 3312 Tower Avenue, Superior, Wisconsin |
| Authorized Official Name and Position | Gerald T Mikel (DENTIST OWNER) |
| Authorized Official Contact | 7153921132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald T Mikel Family Dentistry Sc 3312 Tower Ave Superior WI 54880-5302 Ph: (715) 392-1132 | Gerald T Mikel Family Dentistry Sc 3312 Tower Avenue Superior WI 54880 Ph: (715) 392-1132 |
| NPI Number | 1760577852 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 10/03/2025 |
| Medicare PECOS PAC ID | 7719406313 |
|---|---|
| Medicare Enrollment ID | O20250528000479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760577852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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