Organization
NORTHERN ORAL & MAXILLOFACIAL SURGEONS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY LEE MORSE D.D.S. (ORAL SURGEON)
(218) 722-8377
Entity
Organization
Contact information
Practice address
503 BELKNAP ST, SUPERIOR, WI 54880-2932
(715) 564-4081
(715) 564-4083
Mailing address
503 BELKNAP ST, SUPERIOR, WI 54880-2932
(715) 564-4081
(715) 682-4882
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38393500
—
WI
Enumeration date
01/12/2007
Last updated
02/23/2021
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