Mark Phillip Meinhardt DDS

NPI 1477710895 - Dentist - 1223G0001X

NPI Details
NPI 1477710895
Gender Male
Enumeration Date 05/22/2008
Last Updated 05/22/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
S42 W31330 HWY 83
GENESEE DEPOT WI, 53127, US
Phone (262) 968-4720
Fax
Business Location
PO BOX 68
GENESEE DEPOT WI, 53127-0068, US
Phone (262) 968-4720
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Wisconsin
License Number 5002103
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According to our database, Dr. Mark Phillip Meinhardt DDS NPI is 1477710895, taxonomy code is 1223G0001X and license number is 5002103, license state is located at Wisconsin. Mark Phillip Meinhardt DDS physically located at S42 W31330 Hwy 83, Genesee Depot WI, 53127. NPI Number Mark Phillip Meinhardt DDS has the Individual type.

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1477710895 NPI number is provided on an as is basis without warranty of any kind. 1477710895 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Phillip Meinhardt DDS are for informational purposes only.