Individual
DR. MICHAEL EDWARD DRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2100 MILLER PARK WAY, WEST MILWAUKEE, WI 53219-1641
(414) 645-4540
Mailing address
221 E OREGON ST APT 107, MILWAUKEE, WI 53204-2425
(630) 363-8230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001305-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2023
Last updated
07/27/2023
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