Individual
DR. MICHAEL BLAIR MELUGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
4585
WI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4585
WI
Other
Enumeration date
11/06/2006
Last updated
09/11/2025
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