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Individual

DR. AMY GETZ NIEDZIELA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
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 # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6150
WI
1223P0221X
Pediatric Dentistry
Primary
6150-15
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588861256
WI
Enumeration date
06/27/2007
Last updated
01/20/2020
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