Michael Blair Melugin DDS MS

NPI 1407935794 - Dentist - 1223S0112X

NPI Details
NPI 1407935794
Gender Male
Enumeration Date 11/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
20855 WATERTOWN RD
SUITE 240
WAUKESHA WI, 53186, US
Phone (262) 798-1421
Fax (262) 798-1494
Business Location
20855 WATERTOWN RD
SUITE 240
WAUKESHA WI, 53186, US
Phone (262) 798-1421
Fax (262) 798-1494
Toxanomy
Taxonomy Code 1223S0112X
License State Wisconsin
License Number 4585
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According to our database, Dr. Michael Blair Melugin DDS MS NPI is 1407935794, taxonomy code is 1223S0112X and license number is 4585, license state is located at Wisconsin. Michael Blair Melugin DDS MS physically located at 20855 Watertown Rd, Waukesha WI, 53186. NPI Number Michael Blair Melugin DDS MS has the Individual type.

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1407935794 NPI number is provided on an as is basis without warranty of any kind. 1407935794 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Blair Melugin DDS MS are for informational purposes only.