| Mobile Medical Specialists Llc | |
|
146 Park Ave Pewaukee WI 53072-3410 | |
| (262) 691-1000 | |
| (262) 264-5429 |
| Full Name | Mobile Medical Specialists Llc |
|---|---|
| Speciality | Dentist |
| Location | 146 Park Ave, Pewaukee, Wisconsin |
| Authorized Official Name and Position | Scott Stollenwerk (PRESIDENT) |
| Authorized Official Contact | 2626911000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Medical Specialists Llc 146 Park Ave Pewaukee WI 53072-3410 Ph: (262) 691-1000 | Mobile Medical Specialists Llc 146 Park Ave Pewaukee WI 53072-3410 Ph: (262) 691-1000 |
| NPI Number | 1568732378 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 07/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568732378 | NPI | - | NPPES |
| 100021548 | Medicaid | WI |
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