| Oral Surgery Associates Of Wisconsin, S.c. | |
|
1155 Wittmann Dr Menasha WI 54952-3607 | |
| (920) 725-5584 | |
| (920) 725-0160 |
| Full Name | Oral Surgery Associates Of Wisconsin, S.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1155 Wittmann Dr, Menasha, Wisconsin |
| Authorized Official Name and Position | Jeffrey R Lang (PRESIDENT) |
| Authorized Official Contact | 9207255584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Associates Of Wisconsin, S.c. 1155 Wittmann Dr Menasha WI 54952-3607 Ph: (920) 725-5584 | Oral Surgery Associates Of Wisconsin, S.c. 1155 Wittmann Dr Menasha WI 54952-3607 Ph: (920) 725-5584 |
| NPI Number | 1700280963 |
|---|---|
| Provider Enumeration Date | 10/17/2014 |
| Last Update Date | 10/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700280963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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