Individual
DR. MICHAEL J WOCKENFUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
903 E AIRPORT RD, MENASHA, WI 54952-1942
(920) 729-6322
(920) 729-6729
Mailing address
903 E AIRPORT RD, MENASHA, WI 54952-1942
(920) 729-6322
(920) 729-6729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4754015
WI
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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