| Lmg Inc | |
|
6211 Durand Ave Suite 202 Mount Pleasant WI 53406-4956 | |
| (262) 598-9901 | |
| (262) 898-3951 |
| Full Name | Lmg Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 6211 Durand Ave, Mount Pleasant, Wisconsin |
| Authorized Official Name and Position | Jay L Mackman (OWNER-DIRECTOR) |
| Authorized Official Contact | 4144769400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lmg Inc 2626 N 76th St Suite 105 Wauwatosa WI 53213-1137 Ph: (414) 476-9400 | Lmg Inc 6211 Durand Ave Suite 202 Mount Pleasant WI 53406-4956 Ph: (262) 598-9901 |
| NPI Number | 1891234498 |
|---|---|
| Provider Enumeration Date | 02/15/2017 |
| Last Update Date | 02/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891234498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Primary |
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