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Individual

DR. MICHAEL BLAIR MELUGIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS MS

Contact information

Practice address
20855 WATERTOWN RD, SUITE 240, WAUKESHA, WI 53186
(262) 798-1421
(262) 798-1494
Mailing address
20855 WATERTOWN RD, SUITE 240, WAUKESHA, WI 53186
(262) 798-1421
(262) 798-1494

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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