Individual
DR. MARK DAVID MCNIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
250 N GREEN BAY RD, NEENAH, WI 54956-2245
(920) 725-7840
(920) 725-5355
Mailing address
250 N GREEN BAY RD, NEENAH, WI 54956-2245
(920) 725-7840
(920) 725-5355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3335-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33469900
—
WI
Enumeration date
04/02/2007
Last updated
07/09/2007
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