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1144896598
GRANT JAMES MICKESH
MILWAUKEE, WI
NPI
1144896598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-27
Last Update Date
2021-05-27
Business Address
Dr. GRANT JAMES MICKESH DDS
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233-2186
Phone number: 414-288-6790
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Mailing Address
Dr. GRANT JAMES MICKESH DDS
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233-2186
Phone number: 414-288-6790
Copy
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