Individual
GERALD THOMAS MIKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3312 TOWER AVE, SUPERIOR, WI 54880-5302
(715) 392-1132
Mailing address
3312 TOWER AVE, SUPERIOR, WI 54880-5302
(715) 392-1132
(715) 392-2333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002299
WI
Other
Enumeration date
06/10/2020
Last updated
02/10/2025
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