Organization
DR MICHAEL S MECIKALSKI SC
Active
Other names
formerly self proprietor 391571294
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S MECIKALSKI DDS (PRESIDENT)
(608) 375-4640
Entity
Organization
Contact information
Practice address
310 PARKER STREET, BOSCOBEL, WI 53805-0188
(608) 375-4640
Mailing address
PO BOX 188, 310 PARKER STREET, BOSCOBEL, WI 53805-0188
(608) 375-4640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WI3718
WI
Other
Enumeration date
10/24/2006
Last updated
08/16/2007
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