Type 2 organization · NPI 1013409002
WISCONSIN ORAL & MAXILLOFACIAL SURGERY LLC
261QS0112X · OAK CREEK, WI
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 261QS0112X | 261QS0112X | Primary |
| 261QD0000X | 261QD0000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s