| Mdc Stevens Point, Llc | |
|
5541 Us Highway 10 E Stevens Point WI 54482-8306 | |
| (715) 344-7911 | |
| Not Available |
| Full Name | Mdc Stevens Point, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5541 Us Highway 10 E, Stevens Point, Wisconsin |
| Authorized Official Name and Position | Bernard Joseph Bolka (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9205793188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdc Stevens Point, Llc Po Box 1658 Fond Du Lac WI 54936-1658 Ph: (920) 579-3188 | Mdc Stevens Point, Llc 5541 Us Highway 10 E Stevens Point WI 54482-8306 Ph: (715) 344-7911 |
| NPI Number | 1497368625 |
|---|---|
| Provider Enumeration Date | 08/27/2020 |
| Last Update Date | 08/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497368625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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