Individual
DR. MICHAEL J WERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
101 OAKRIDGE CT STE C, WATERTOWN, WI 53094-4100
(920) 261-5400
(920) 261-1590
Mailing address
101 OAKRIDGE CT STE C, WATERTOWN, WI 53094-4100
(920) 261-5400
(920) 261-1590
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4872
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33741400
—
WI
Enumeration date
10/19/2006
Last updated
07/08/2007
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