Individual
DR. MICHAEL PATRICK REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1018 KING RD, TOMAHAWK, WI 54487
(715) 453-7071
(715) 453-9461
Mailing address
PO BOX 18, TOMAHAWK, WI 54487
(715) 453-7071
(715) 453-9461
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5793015
WI
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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