| Koala Center For Sleep Disorders | |
|
10610 N Port Washington Rd Mequon WI 53092-5013 | |
| (262) 923-7879 | |
| (262) 436-2541 |
| Full Name | Koala Center For Sleep Disorders |
|---|---|
| Speciality | Dentist |
| Location | 10610 N Port Washington Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Krissy Connor (OWNER) |
| Authorized Official Contact | 2629237879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koala Center For Sleep Disorders 405 N Calhoun Rd Ste 201 Brookfield WI 53005-5902 Ph: (262) 923-7879 | Koala Center For Sleep Disorders 10610 N Port Washington Rd Mequon WI 53092-5013 Ph: (262) 923-7879 |
| NPI Number | 1780190553 |
|---|---|
| Provider Enumeration Date | 12/15/2017 |
| Last Update Date | 06/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780190553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Wisconsin) | Primary |
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