| Kevin M Mikel Family Dentistry Sc | |
|
3312 Tower Avenue Superior WI 54880 | |
| (715) 392-1132 | |
| (715) 392-2333 |
| Full Name | Kevin M Mikel Family Dentistry Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3312 Tower Avenue, Superior, Wisconsin |
| Authorized Official Name and Position | Kevin M Mikel (DENTIST OWNER) |
| Authorized Official Contact | 7153921132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin M Mikel Family Dentistry Sc 3312 Tower Avenue Superior WI 54880 Ph: (715) 392-1132 | Kevin M 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 | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760577852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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