Roland P Wolferstetter Dds Llc | |
9235 W Capitol Dr Suite 202 Milwaukee WI 53222-1567 | |
(414) 464-8600 | |
(414) 464-8603 |
Full Name | Roland P Wolferstetter Dds Llc |
---|---|
Speciality | Dentist |
Location | 9235 W Capitol Dr, Milwaukee, Wisconsin |
Authorized Official Name and Position | Roland Peter Wolferstetter (DENTIST OWNER) |
Authorized Official Contact | 4144648600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Roland P Wolferstetter Dds Llc 9235 W Capitol Dr Suite 202 Milwaukee WI 53222-1567 Ph: (414) 464-8600 | Roland P Wolferstetter Dds Llc 9235 W Capitol Dr Suite 202 Milwaukee WI 53222-1567 Ph: (414) 464-8600 |
NPI Number | 1760593008 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 02/26/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760593008 | NPI | - | NPPES |
333 72 700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5002074 (Wisconsin) | Primary |
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