| Potrykus Family Dentistry Llc | |
|
213 N Railroad St Eagle River WI 54521 | |
| (715) 479-4686 | |
| (715) 479-5281 |
| Full Name | Potrykus Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 213 N Railroad St, Eagle River, Wisconsin |
| Authorized Official Name and Position | Neal Alan Potrykus (PRESIDENT DOCTOR) |
| Authorized Official Contact | 7154794686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potrykus Family Dentistry Llc 213 N Railroad Street Po Box 1075 Eagle River WI 54521 Ph: (715) 479-4686 | Potrykus Family Dentistry Llc 213 N Railroad St Eagle River WI 54521 Ph: (715) 479-4686 |
| NPI Number | 1396870432 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 07/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396870432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | WI3315 (Wisconsin) | Primary |
Gremban & Gremban Dental S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 N Railroad St, Eagle River, WI 54521 Phone: 715-479-6100 Fax: 715-477-2162 |