| Pelsue Orthodontics | |
|
1616 N Randall Ave Janesville WI 53545-1118 | |
| (608) 754-4998 | |
| (608) 754-5652 |
| Full Name | Pelsue Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1616 N Randall Ave, Janesville, Wisconsin |
| Authorized Official Name and Position | Mitchell W. Pelsue (ORTHODONTIST) |
| Authorized Official Contact | 6087544998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelsue Orthodontics 1616 N Randall Ave Janesville WI 53545-1118 Ph: (608) 754-4998 | Pelsue Orthodontics 1616 N Randall Ave Janesville WI 53545-1118 Ph: (608) 754-4998 |
| NPI Number | 1295818177 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 05/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295818177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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