| Psp Health | |
|
1925 S Green Bay Rd Mount Pleasant WI 53406-4654 | |
| (262) 634-4646 | |
| (262) 634-4694 |
| Full Name | Psp Health |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1925 S Green Bay Rd, Mount Pleasant, Wisconsin |
| Authorized Official Name and Position | Paul S Pamula (OWNER) |
| Authorized Official Contact | 2626344646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psp Health 1925 S Green Bay Rd Mount Pleasant WI 53406-4654 Ph: (262) 634-4646 | Psp Health 1925 S Green Bay Rd Mount Pleasant WI 53406-4654 Ph: (262) 634-4646 |
| NPI Number | 1033701495 |
|---|---|
| Provider Enumeration Date | 02/08/2021 |
| Last Update Date | 02/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033701495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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