Individual
MICHAEL FEURSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1236 AMERICAN WAY, LIBERTYVILLE, IL 60048-3936
(262) 455-0016
Mailing address
1236 AMERICAN WAY, LIBERTYVILLE, IL 60048-3936
(262) 455-0016
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS042567
PA
1223D0004X
Dental Anesthesiology
Primary
019.034085
IL
1223D0004X
Dental Anesthesiology
6001169-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/06/2015
Last updated
01/16/2024
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