| Mdc Milwaukee, Llc | |
|
4701 W National Ave Milwaukee WI 53214-3521 | |
| (920) 579-3188 | |
| Not Available |
| Full Name | Mdc Milwaukee, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4701 W National Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Bernard Joseph Bolka (CFO) |
| Authorized Official Contact | 9205793188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdc Milwaukee, Llc Po Box 1658 Fond Du Lac WI 54936-1658 Ph: (920) 579-3188 | Mdc Milwaukee, Llc 4701 W National Ave Milwaukee WI 53214-3521 Ph: (920) 579-3188 |
| NPI Number | 1679116685 |
|---|---|
| Provider Enumeration Date | 10/22/2019 |
| Last Update Date | 10/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679116685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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