Individual
DR. MARK WANEZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5151 S 108TH ST, HALES CORNERS, WI 53130-1328
(414) 427-0900
(414) 427-1828
Mailing address
5151 S 108TH ST, HALES CORNERS, WI 53130-1328
(414) 427-0900
(414) 427-1828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3434
WI
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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