Michael Gavin Romenesko DDS

NPI 1437338720 - Dentist - 1223G0001X

NPI Details
NPI 1437338720
Gender Male
Enumeration Date 11/02/2007
Last Updated 11/02/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2510 E EVERGREEN DR
APPLETON WI, 54913-8904, US
Phone (920) 739-7848
Fax
Business Location
2510 E EVERGREEN DR
APPLETON WI, 54913-8904, US
Phone (920) 739-7848
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Wisconsin
License Number 6139-015
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According to our database, Dr. Michael Gavin Romenesko DDS NPI is 1437338720, taxonomy code is 1223G0001X and license number is 6139-015, license state is located at Wisconsin. Michael Gavin Romenesko DDS physically located at 2510 E Evergreen Dr, Appleton WI, 54913-8904. NPI Number Michael Gavin Romenesko DDS has the Individual type.

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1437338720 NPI number is provided on an as is basis without warranty of any kind. 1437338720 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Gavin Romenesko DDS are for informational purposes only.