| Mdc Manitowoc Sc | |
|
33 E Waldo Blvd Manitowoc WI 54220-2900 | |
| (920) 682-0115 | |
| Not Available |
| Full Name | Mdc Manitowoc Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 33 E Waldo Blvd, Manitowoc, Wisconsin |
| Authorized Official Name and Position | William C Mauthe (OWNER) |
| Authorized Official Contact | 9209211244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdc Manitowoc Sc 54 E 1st St Fond Du Lac WI 54935-4204 Ph: () - | Mdc Manitowoc Sc 33 E Waldo Blvd Manitowoc WI 54220-2900 Ph: (920) 682-0115 |
| NPI Number | 1598176547 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 05/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598176547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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