Individual
ROBERT MICHAEL MIKLESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
680 HEHLI WAY, MONDOVI, WI 54755-1639
(715) 926-5050
Mailing address
3652 HALSEY ST, EAU CLAIRE, WI 54701-7207
(715) 514-1733
(715) 926-5405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12292
MN
1223G0001X
General Practice Dentistry
Primary
4814
WI
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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