Dr Craig Edward Mahlum, DDS is a
Dentist based in Fox Lake, Wisconsin. Dr Craig Edward Mahlum is licensed to practice in Wisconsin (license number 2959) and his current practice location is
W10237 Lake Emily Road, Fox Lake, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 470-8646.
NPI number for Dr Craig Edward Mahlum is 1265513741 and his current mailing address is W322n6811 Wildwood Point Rd, Hartland, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265513741.
Healthcare Provider's Profile
| Full Name | Dr Craig Edward Mahlum |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | W10237 Lake Emily Road, Fox Lake, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265513741
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 02/15/2013
Medical Identifiers
Medical identifiers for Dr Craig Edward Mahlum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265513741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2959 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Craig Edward Mahlum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Craig Edward Mahlum, DDS
W322n6811 Wildwood Point Rd,
Hartland, WI 53029-9711
Ph: (920) 928-6949 | Dr Craig Edward Mahlum, DDS
W10237 Lake Emily Road,
Fox Lake, WI 53933
Ph: (262) 470-8646 |
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