Organization
GELHAUS DENTAL CLINIC S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK CHARLES GELHAUS DDS (DENTIST)
(715) 748-4020
Entity
Organization
Contact information
Practice address
1155 W BROADWAY AVE, MEDFORD, WI 54451-1372
(715) 748-4020
(715) 748-4020
Mailing address
1155 W BROADWAY AVE, MEDFORD, WI 54451-1372
(715) 748-4020
(715) 748-4020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3192
WI
122300000X
Dentist
6784
WI
122300000X
Dentist
7139
WI
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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