Individual
DR. MICHAEL S. MECIKALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
310 PARKER STREET, BOSCOBEL, WI 53805-0188
(608) 375-4640
Mailing address
310 PARKER STREET PO BOX 188, BOSCOBEL, WI 53805-0188
(608) 375-4640
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
WI-3718
WI
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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