| |
2669 N Swan Blvd Milwaukee WI 53226-1800 | |
(414) 258-2216 | |
(414) 258-9466 |
Full Name | |
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Speciality | Dentist |
Location | 2669 N Swan Blvd, Milwaukee, Wisconsin |
Authorized Official Name and Position | Steven Robert Schnoll (OWNER) |
Authorized Official Contact | 4142582216 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2669 N Swan Blvd Milwaukee WI 53226-1800 Ph: (414) 258-2216 | 2669 N Swan Blvd Milwaukee WI 53226-1800 Ph: (414) 258-2216 |
NPI Number | 1952413544 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 01/16/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952413544 | NPI | - | NPPES |
38388000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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