Individual
DR. MICHAEL J MEHLBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY, 501 S. PRESTON ST., LOUISVILLE, KY 40292-0001
(502) 852-5128
(502) 852-7163
Mailing address
UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY, 501 S. PRESTON ST., LOUISVILLE, KY 40292-0001
(502) 852-5128
(502) 852-7163
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6702
KY
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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