Douglas D Podoll Dds Sc

NPI 1063563674 - Dentist - 1223X0400X

NPI Details
NPI 1063563674
Enumeration Date 01/12/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DOUGLAS D DOUGLAS
Position PRESIDENT
Phone (715) 684-5858
Fax (715) 684-5968
Practice Location
1460 10TH AVE
BALDWIN WI, 54002, US
Phone (715) 684-5858
Fax (715) 684-5968
Business Location
1460 10TH AVE
PO BOX 516
BALDWIN WI, 54002, US
Phone (715) 684-5858
Fax (715) 684-5968
Toxanomy
Taxonomy Code 1223X0400X
License State Wisconsin
License Number 3237
Remove 1063563674 NPI Number
 

According to our database, Douglas D Podoll Dds Sc NPI is 1063563674, taxonomy code is 1223X0400X and license number is 3237, license state is located at Wisconsin. Douglas D Podoll Dds Sc physically located at 1460 10th Ave, Baldwin WI, 54002. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1063563674 NPI number is provided on an as is basis without warranty of any kind. 1063563674 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas D Podoll Dds Sc are for informational purposes only.