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DR. JOHN WURTH SKELLENGER DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1598852865

Individual Registrant:
DR. JOHN WURTH SKELLENGER DDS
Gender: M
Sole Proprietor

Location and contact information for practice:
1103 DELTA AVE  GLADSTONE, MI 49837-0167 US
Tel: 906-428-1616  Fax: --

Contact information for business:
P.O. BOX 167  GLADSTONE, MI 49837-0167 US
Tel: 906-428-1616  Fax: --

Registration Information:
NPI: 1598852865
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
MI11634

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
4043740MI05




HEALTH CARE JOBS MI - Page 1



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