Individual
MITCHELL SEUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
260 W COOK ST, PORTAGE, WI 53901-2106
(608) 742-2331
Mailing address
1211 N 60TH ST, APT #410, WAUWATOSA, WI 53213-4161
(608) 697-8899
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WI
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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