204E00000X
Milwaukee, WI
Specialty
204E00000X
Credential
DDS
NPI
1912950221
840 N 87th St, Milwaukee, WI 53226
(414) 805-9500Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 204e00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 204E00000X