Individual
DR. CRAIG EDWARD MAHLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
W10237 LAKE EMILY ROAD, FOX LAKE, WI 53933
(262) 470-8646
Mailing address
W322N6811 WILDWOOD POINT RD, HARTLAND, WI 53029-9711
(920) 928-6949
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2959
WI
Other
Enumeration date
10/18/2006
Last updated
02/15/2013
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