| Tmj Pain Solutions, Sc | |
|
N14w23833 Stone Ridge Dr Suite 240 Waukesha WI 53188-1157 | |
| (262) 232-8777 | |
| (262) 232-8786 |
| Full Name | Tmj Pain Solutions, Sc |
|---|---|
| Speciality | Dentist |
| Location | N14w23833 Stone Ridge Dr, Waukesha, Wisconsin |
| Authorized Official Name and Position | Mary K Karkow (OWNER) |
| Authorized Official Contact | 2622328777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmj Pain Solutions, Sc N14w23833 Stone Ridge Dr Suite 240 Waukesha WI 53188-1157 Ph: (262) 232-8777 | Tmj Pain Solutions, Sc N14w23833 Stone Ridge Dr Suite 240 Waukesha WI 53188-1157 Ph: (262) 232-8777 |
| NPI Number | 1578957411 |
|---|---|
| Provider Enumeration Date | 03/27/2015 |
| Last Update Date | 03/27/2015 |
| Medicare PECOS PAC ID | 1254652217 |
|---|---|
| Medicare Enrollment ID | O20150603001362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578957411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 455015 (Wisconsin) | Primary |
| Provider Name | Mary K Karkow |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1003927625 PECOS PAC ID: 7911912126 Enrollment ID: I20060209000127 |
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