Formerly Self Proprietor is a Dental Clinic in Boscobel, Wisconsin. It is located at 310 Parker Street, Boscobel, WI and its contact number is 608-375-4640. The authorized person for Formerly Self Proprietor is Dr. Michael S Mecikalski
who is President of the clinic and their contact number is 608-375-4640. The primary license number for Formerly Self Proprietor is WI3718 (General Practice) in Wisconsin. Formerly Self Proprietor Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Formerly Self Proprietor Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Michael S Mecikalski
Position:
President
Contact Number:
608-375-4640
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Formerly Self Proprietor clinic are as mentioned below.
NPI Number:
1386727972
NPI Enumeration Date:
24 Oct, 2006
NPI Last Update On:
16 Aug, 2007
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Formerly Self Proprietor are as mentioned below.
Specialization
License Number
State
Status
General Practice
WI3718
Wisconsin
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Formerly Self Proprietor Po Box 188, 310 Parker Street Boscobel, Wisconsin
Zip:
53805-0188
Phone Number:
608-375-4640
Patients can reach Formerly Self Proprietor at 310 Parker Street, Boscobel, Wisconsin or can call to book an appointment on 608-375-4640. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.