Dr Michael S Mecikalski Sc

NPI #1386727972 in Boscobel, Wisconsin

Provider Information

NPI Number: 1386727972
Entity Type: Organization
Organization Name: Dr Michael S Mecikalski Sc
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 24, 2006
Last Updated: Aug 16, 2007

Practice Location

Address: 310 PARKER STREET
City: Boscobel
State: Wisconsin
ZIP Code: 53805-0188
Phone: (608) 375-4640

Authorized Official

Name: DR. MICHAEL S MECIKALSKI, DDS
Title: PRESIDENT
Phone: (608) 375-4640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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