Individual
MR. FRANKLIN FREDRICK WILEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.H.
Contact information
Practice address
1234 LLOYD COURT, CUSTER, WI 54423
(715) 592-4704
Mailing address
1234 LLOYD CT, CUSTER, WI 54423-9427
(715) 592-4704
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6141-016
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33806300
—
WI
Enumeration date
05/07/2008
Last updated
05/07/2008
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