Gary J Kohl Dds | |
1 Corporate Dr Ste 104 Wausau WI 54401-1725 | |
(715) 845-9297 | |
Not Available |
Full Name | Gary J Kohl Dds |
---|---|
Speciality | Dentist |
Location | 1 Corporate Dr Ste 104, Wausau, Wisconsin |
Authorized Official Name and Position | Olga Grenova (DIR OF ACCOUNTING) |
Authorized Official Contact | 6088332213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gary J Kohl Dds 1 Corporate Dr Ste 104 Wausau WI 54401-1725 Ph: (715) 845-9297 | Gary J Kohl Dds 1 Corporate Dr Ste 104 Wausau WI 54401-1725 Ph: (715) 845-9297 |
NPI Number | 1437641214 |
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Provider Enumeration Date | 06/06/2018 |
Last Update Date | 06/06/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437641214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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