| Michael De Wan DDS SC | |
|
2577 N Downer Ave Ste 202 Milwaukee WI 53211-4242 | |
| (414) 962-5915 | |
| Not Available |
| Full Name | Michael De Wan DDS SC |
|---|---|
| Speciality | Dentist |
| Location | 2577 N Downer Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Michael S De Wan (DENTIST) |
| Authorized Official Contact | 4149625915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael De Wan DDS SC 2577 N Downer Ave Ste 202 Milwaukee WI 53211-4253 | Michael De Wan DDS SC 2577 N Downer Ave Ste 202 Milwaukee WI 53211-4242 Ph: (414) 962-5915 |
| NPI Number | 1386801694 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386801694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | WI3976 (Wisconsin) | Primary |
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