Individual
JOHN PHILLIP MASEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1401 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4623
(414) 671-4848
Mailing address
2130 W BOLIVAR AVE, MILWAUKEE, WI 53221-2214
(414) 282-9783
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001685
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5001685
DENTAL LICENSE
WI
Enumeration date
08/31/2006
Last updated
07/08/2007
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