Organization
GREGORY T ISERMANN DDS MS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY T ISERMANN DDS MS (PRESIDENT)
(262) 554-7782
Entity
Organization
Contact information
Practice address
3500 MEACHEM ROAD, RACINE, WI 53405-4662
(262) 554-7782
(262) 554-8891
Mailing address
3500 MEACHEM ROAD, RACINE, WI 53405-4662
(262) 554-7782
(262) 554-8891
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1582G
WI
Other
Enumeration date
09/12/2006
Last updated
08/22/2020
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