Individual
MACAIRE CLAIRE HULDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9000 W. WISCONSIN AVE., MILWAUKEE, WI 53226
(414) 266-2040
(414) 266-5677
Mailing address
9000 W. WISCOSNIN AVENUE MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30025263
OH
1223P0221X
Pediatric Dentistry
Primary
1001353-15
WI
1223P0221X
Pediatric Dentistry
30025263
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0276108
—
OH
05
—
1003262403
—
WI
Enumeration date
05/04/2016
Last updated
12/14/2021
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