Individual
DR. RONALD MELVIN WANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4915 MONONA DR, MONONA, WI 53716-2665
(608) 222-7077
Mailing address
4915 MONONA DR, MONONA, WI 53716-2665
(608) 222-7077
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5000106
WI
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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