Individual
DR. STEPHAN WILLIAM KLUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1017 W GLEN OAKS LANE, SUITE 211, MEQUON, WI 53092
(262) 241-4440
(262) 241-3331
Mailing address
1017 W GLEN OAKS LANE, SUITE 211, MEQUON, WI 53092
(262) 241-4440
(262) 241-3331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2966
WI
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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