GRANT JAMES MICKESH

MILWAUKEE, WI
NPI1144896598
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-05-27
Last Update Date2021-05-27
Business Address
Dr. GRANT JAMES MICKESH DDS
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233-2186
Phone number: 414-288-6790
Mailing Address
Dr. GRANT JAMES MICKESH DDS
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233-2186
Phone number: 414-288-6790
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