Individual
PHILIP L HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2040
(414) 266-5677
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2040
(414) 266-5677
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2293015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33453300
—
WI
Enumeration date
03/09/2006
Last updated
12/11/2023
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