Individual
DR. MICHAEL D. O'LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
440 CHESTNUT ST, SUITE 100, WISCONSIN RAPIDS, WI 54494-4873
(715) 421-5255
(715) 421-5103
Mailing address
440 CHESTNUT ST, SUITE 100, WISCONSIN RAPIDS, WI 54494-4873
(715) 421-5255
(715) 421-5103
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2089G
WI
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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