Organization
CENTRAL WISCONSIN ENDODONTIC SPECIALISTS LLC
Active
Other names
MPC Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MITCH WEILAND (SENIOR ACCOUNTANT)
(608) 343-0818
Entity
Organization
Contact information
Practice address
2606 STEWART AVENUE, #102, WAUSAU, WI 54401
(715) 848-3982
Mailing address
2606 STEWART AVENUE, #102, WAUSAU, WI 54401
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
05/27/2021
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