Individual
DR. MICHAEL DAVID FURLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2209 FOREST AVE, TWO RIVERS, WI 54241-1911
(920) 794-7100
(920) 753-7055
Mailing address
2209 FOREST AVE, TWO RIVERS, WI 54241-1911
(920) 794-7100
(920) 753-7055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2565
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33415600
—
WI
Enumeration date
12/20/2006
Last updated
07/08/2007
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