| NPI | 1942524640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILPATRICK SCHMIDTKE Orthodontist 920-731-4451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WI 4974) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |