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1205992815
MARK WANEZEK
HALES CORNERS, WI
NPI
1205992815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 3434)
Enumeration Date
2006-12-28
Last Update Date
2007-07-08
Business Address
Dr. MARK WANEZEK
5151 S 108TH ST
HALES CORNERS, WI 53130-1328
Phone number: 414-427-0900
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Mailing Address
Dr. MARK WANEZEK
5151 S 108TH ST
HALES CORNERS, WI 53130-1328
Phone number: 414-427-0900
Copy
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