Organization
GREATER MILWAUKEE ORAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOHN GOECKERMANN DDS (OWNER)
(414) 281-3344
Entity
Organization
Contact information
Practice address
6800 WEST LAYTON AVENUE, GREENFIELD, WI 53220-4364
(414) 281-3344
(414) 281-1080
Mailing address
6800 WEST LAYTON AVENUE, GREENFIELD, WI 53220-4364
(414) 281-3344
(414) 281-1080
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5910-15
WI
Other
Enumeration date
08/27/2018
Last updated
08/30/2023
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