Individual
PETER F. WILK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
697 GRAND AVE, HARTFORD, WI 53027-2207
(262) 673-7826
Mailing address
697 GRAND AVE, HARTFORD, WI 53027-2207
(262) 673-7826
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001263-015
WI
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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