Individual
DR. MIKE C WURBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2556 W NORTH AVE, CHICAGO, IL 60647-5216
(773) 360-1281
(773) 360-1285
Mailing address
2556 W NORTH AVE, CHICAGO, IL 60647-5216
(773) 360-1281
(773) 360-1285
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027166
IL
122300000X
Dentist
2009014660
MO
Other
Enumeration date
06/16/2009
Last updated
02/15/2013
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