Individual
DR. JAMES J MICHNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1006 WESTERN AVE, MOSINEE, WI 54455-1530
(715) 693-4777
Mailing address
1006 WESTERN AVE, MOSINEE, WI 54455-1530
(715) 693-4777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001639015
WI
Other
Enumeration date
03/11/2007
Last updated
07/08/2007
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