Individual
DR. JON J. SISULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S
Contact information
Practice address
6160 S 108TH ST, HALES CORNERS, WI 53130-2525
(414) 425-2410
(414) 425-9751
Mailing address
6160 S 108TH ST, HALES CORNERS, WI 53130-2525
(414) 425-2410
(414) 425-9751
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5001846
WI
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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