Individual
DR. MICHAEL DEAN CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
545 E JOHNSON ST, FOND DU LAC, WI 54935-2856
(920) 924-9090
Mailing address
545 E JOHNSON ST, FOND DU LAC, WI 54935-2856
(920) 924-9090
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5567-015
WI
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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