Individual
ADAM MICHAEL CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 W JEFFERSON ST, SPRING GREEN, WI 53588-8062
(608) 588-2122
Mailing address
6151 REUTER RD, MAZOMANIE, WI 53560-9647
(608) 553-0528
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002324
WI
Other
Enumeration date
05/14/2020
Last updated
01/29/2025
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