| Gary J Kohl Dds | |
|
1 Corporate Dr Ste 104 Wausau WI 54401-1725 | |
| (715) 845-9297 | |
| Not Available |
| Full Name | Gary J Kohl Dds |
|---|---|
| Speciality | Dentist |
| Location | 1 Corporate Dr Ste 104, Wausau, Wisconsin |
| Authorized Official Name and Position | Olga Grenova (DIR OF ACCOUNTING) |
| Authorized Official Contact | 6088332213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary J Kohl Dds 1 Corporate Dr Ste 104 Wausau WI 54401-1725 Ph: (715) 845-9297 | Gary J Kohl Dds 1 Corporate Dr Ste 104 Wausau WI 54401-1725 Ph: (715) 845-9297 |
| NPI Number | 1437641214 |
|---|---|
| Provider Enumeration Date | 06/06/2018 |
| Last Update Date | 06/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437641214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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James S Kim Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 S 24th Ave, Ste 200, Wausau, WI 54401 Phone: 715-849-5667 Fax: 715-849-5667 | |
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