Organization
MICHAEL R WESTMAN DDS MS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R WESTMAN D.D.S., M.S. (OWNER)
(262) 994-4229
Entity
Organization
Contact information
Practice address
4944 CHARLES ST, RACINE, WI 53402-2536
(262) 994-4229
Mailing address
4944 CHARLES ST, RACINE, WI 53402-2536
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5228015
WI
332BC3200X
Customized Equipment (DME)
5228015
WI
Other
Enumeration date
08/12/2012
Last updated
08/12/2012
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