Mark J Grevlich is a Dentist in Oconomowoc, Wisconsin. Mark J Grevlich practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark J Grevlich is 1245498641. The last update date is 2008-06-02.
Mark J Grevlich's current location address is N68w33420 Hwy K, Oconomowoc, Wisconsin. You can contact this provider via phone number 2629669798 and fax number 2629660443. The mailing address for Mark J Grevlich is N68w33420 Hwy K, Oconomowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark J Grevlich |
|---|---|
| Address | N68w33420 Hwy K, Oconomowoc, Wisconsin |
| Phone Number | 2629669798 |
| Fax Number | 2629660443 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1245498641 |
|---|---|
| Provider Enumeration Date | 2008-06-02 |
| Last Updated Date | 2008-06-02 |
Provider Mailing Address Detail
| Address | N68w33420 Hwy K |
|---|---|
| City | Oconomowoc |
| State | Wisconsin (WI) |
| Post Code | 53066 |
| Phone Number | 2629669798 |
| Fax Number | 2629660443 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | WI3153 |
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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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What is the unique identification code assigned to Mark J Grevlich by the Centers for Medicare & Medicaid Services?
The Mark J Grevlich has been issued the NPI (National Provider Identifier) 1245498641. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark J Grevlich?
The Mark J Grevlich is situated at N68W33420 Hwy K, in the city of Oconomowoc, state of WI, with the zip code 53066.
What is Mark J Grevlich's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark J Grevlich's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Mark J Grevlich receive its 1245498641 assignment from the Centers for Medicare & Medicaid Services?
The Mark J Grevlich was assigned its 1245498641 by the Centers for Medicare & Medicaid Services on 2008-06-02.
When was the information regarding Mark J Grevlich most recently updated?
The details pertaining to the Mark J Grevlich, including its address, specialty, and other relevant information, were last refreshed on 2008-06-02.