DR. Mark Wanezek
NPI #1205992815 in Hales Corners, Wisconsin
Provider Information
- NPI Number
- 1205992815
- Entity Type
- Individual
- Name
- DR. Mark Wanezek
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5151 S 108TH ST
- City
- Hales Corners
- State
- Wisconsin
- ZIP Code
- 53130-1328
- Phone
- (414) 427-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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