Individual
MICHAEL GARVEY HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1111 8TH ST S, WISCONSIN RAPIDS, WI 54494
(715) 421-1114
(715) 421-1114
Mailing address
1111 8TH ST S, WISCONSIN RAPIDS, WI 54494
(715) 421-1114
(715) 421-1114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WI4116
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33692000
—
WI
Enumeration date
08/28/2006
Last updated
07/08/2007
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