John John Schoenecker | |
9215 W Lisbon Ave Milwaukee WI 53222-2523 | |
(414) 527-4470 | |
(414) 527-4470 |
Full Name | John John Schoenecker |
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Speciality | Dentist |
Location | 9215 W Lisbon Ave, Milwaukee, Wisconsin |
Authorized Official Name and Position | John J Schoenecker (PRESIDENT) |
Authorized Official Contact | 4145274470 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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John John Schoenecker 9215 W Lisbon Ave Milwaukee WI 53222-2523 Ph: (414) 527-4470 | John John Schoenecker 9215 W Lisbon Ave Milwaukee WI 53222-2523 Ph: (414) 527-4470 |
NPI Number | 1962825273 |
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Provider Enumeration Date | 01/23/2014 |
Last Update Date | 01/23/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962825273 | NPI | - | NPPES |
33527000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 40000453 (Wisconsin) | Primary |
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