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1144298266
TIMOTHY R MIELKE
WAUWATOSA, WI
NPI
1144298266
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WI 5001477015)
Enumeration Date
2006-03-14
Last Update Date
2007-07-08
Business Address
-- TIMOTHY R MIELKE DDS
2600 N MAYFAIR RD SUITE 750
WAUWATOSA, WI 53226-1309
Phone number: 414-257-3366
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Mailing Address
-- TIMOTHY R MIELKE DDS
534 CRESCENT CT
WAUWATOSA, WI 53213-3856
Phone number: 414-257-3585
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