Most Relevant Information
Provider Data
| NPI Number: | 1003475203 |
| Provider Name: | NICHOLAS MISKULIN DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 1002078 |
Most Important Dates
| Enumeration Date: | 06/11/2019 |
| Last Updated: | 06/11/2019 |
Provider Practice Location
615 W CLAIREMONT AVE # 120
EAU CLAIRE
WI
547016223
Practice Location Phone/Fax
| Phone: | 7158336271 |
| Fax: |
Provider Mailing Location
W5460 ELM AVE
STETSONVILLE
WI
544809721
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |