Individual
DR. CRAIG WILLIAM BYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2457 NORTH MAYFAIR ROAD, SUITE 102, WAUWATOSA, WI 53226-1405
(414) 257-1221
(414) 257-1289
Mailing address
2457 NORTH MAYFAIR ROAD, SUITE 102, WAUWATOSA, WI 53226-1405
(414) 257-1221
(414) 257-1289
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5000754-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33537200
—
WI
Enumeration date
12/08/2010
Last updated
12/08/2010
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