Individual
JON S MEINHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2377 N HUMBOLDT BLVD, MILWAUKEE, WI 53212-3509
(414) 264-7750
Mailing address
2377 N HUMBOLDT BLVD, MILWAUKEE, WI 53212-3509
(414) 264-7750
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2335
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33399900
—
WI
Enumeration date
01/22/2007
Last updated
07/09/2007
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