| Dr Michael James Wallace, DDS | |
|
1195 W Mason St, Green Bay, WI 54303-2045 | |
| (920) 498-3633 | |
| (920) 498-1099 |
| Full Name | Dr Michael James Wallace |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1195 W Mason St, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124127279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2515 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael James Wallace, DDS 1195 W Mason St, Green Bay, WI 54303-2045 Ph: (920) 498-3633 | Dr Michael James Wallace, DDS 1195 W Mason St, Green Bay, WI 54303-2045 Ph: (920) 498-3633 |
Dr. Bradley S Koch, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2353 S Ridge Rd, Green Bay, WI 54304 Phone: 920-499-0471 Fax: 920-499-8312 | |
Dr. William Arthur Brennan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 430 Main St, Green Bay, WI 54301 Phone: 920-431-1745 Fax: 920-431-1715 | |
Lee S Bialkowski, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2821 S Webster Ave, Green Bay, WI 54301 Phone: 920-336-2299 | |
Dr. Thomas Kissner, Dentist Medicare: Medicare Enrolled Practice Location: 2476 S Oneida St, Green Bay, WI 54304 Phone: 920-965-0764 Fax: 920-965-0807 | |
Rodney A. Messner, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1052 Bel Aire Ct, Green Bay, WI 54304 Phone: 920-499-2121 Fax: 920-499-7644 | |
Thuy Nguyen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 331 N Broadway, Green Bay, WI 54303 Phone: 920-965-0831 | |
Miss Alyce Sharon Hockers, Dentist Medicare: Medicare Enrolled Practice Location: 2121 S Webster Ave, Green Bay, WI 54301 Phone: 920-609-4829 |