Psp Health | |
1925 S Green Bay Rd Mount Pleasant WI 53406-4654 | |
(262) 634-4646 | |
(262) 634-4694 |
Full Name | Psp Health |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1925 S Green Bay Rd, Mount Pleasant, Wisconsin |
Authorized Official Name and Position | Paul S Pamula (OWNER) |
Authorized Official Contact | 2626344646 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psp Health 1925 S Green Bay Rd Mount Pleasant WI 53406-4654 Ph: (262) 634-4646 | Psp Health 1925 S Green Bay Rd Mount Pleasant WI 53406-4654 Ph: (262) 634-4646 |
NPI Number | 1033701495 |
---|---|
Provider Enumeration Date | 02/08/2021 |
Last Update Date | 02/08/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033701495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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