Stephan William Klug in Mequon - Dentist
Stephan William Klug - NPI 1164574323
Stephan William Klug is a Dentist in Mequon, Wisconsin. Stephan William Klug practices all healthcare services and medical treatments related to Dentist. The NPI Number for Stephan William Klug is 1164574323. The last update date is 2007-07-08.
Stephan William Klug's current location address is 1017 W Glen Oaks Lane, Mequon, Wisconsin. You can contact this provider via phone number 2622414440 and fax number 2622413331. The mailing address for Stephan William Klug is 1017 W Glen Oaks Lane, Mequon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephan William Klug |
|---|---|
| Address | 1017 W Glen Oaks Lane, Mequon, Wisconsin |
| Phone Number | 2622414440 |
| Fax Number | 2622413331 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1164574323 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1017 W Glen Oaks Lane |
|---|---|
| City | Mequon |
| State | Wisconsin (WI) |
| Post Code | 53092 |
| Phone Number | 2622414440 |
| Fax Number | 2622413331 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2966 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the Stephan William Klug's 1164574323?
The Stephan William Klug's NPI (National Provider Identifier) Number is 1164574323. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Stephan William Klug located?
The Stephan William Klug is located at 1017 W Glen Oaks Lane, Mequon, WI 53092.
What is Stephan William Klug's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stephan William Klug is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Stephan William Klug receive its 1164574323 assignment from the Centers for Medicare & Medicaid Services?
The Stephan William Klug was assigned its 1164574323 by the Centers for Medicare & Medicaid Services on 2007-01-17.
When was the information related to Stephan William Klug most recently updated or refreshed?
The details pertaining to the Stephan William Klug, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.