| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1819 Park Ave, Plover, Wisconsin |
| Authorized Official Name and Position | Kim Wilson (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1819 Park Ave Plover WI 54467-4304 Ph: (715) 544-6100 | 1819 Park Ave Plover WI 54467-4304 Ph: (715) 544-6100 |
| NPI Number | 1508131004 |
|---|---|
| Provider Enumeration Date | 03/16/2012 |
| Last Update Date | 03/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508131004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Frana 2011 Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1570 American Dr, Plover, WI 54467 Phone: 715-341-7665 Fax: 715-341-4776 | |
Tad C. Meier, D.d.s., S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2921 Rainbow Dr, Plover, WI 54467 Phone: 715-344-5716 Fax: 715-295-0748 | |