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Mitchell Seubert, DDS
Student in an Organized Health Care Education/Training Program in Portage, Wisconsin
NPI 1063946440

Mitchell Seubert is a Student in an Organized Health Care Education/Training Program based in Wauwatosa, WI. Mitchell Seubert practices in Portage, WI and has the professional credentials of DDS. The NPI Number for Mitchell Seubert is 1063946440 and holds a License No. (Wisconsin).

The current practice location address for Mitchell Seubert is 260 W Cook St, Portage, WI and can be reached out via phone at 608-742-2331.

Location: 260 W Cook St, Portage, WI, 53213-4161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063946440
Provider Name
Mitchell Seubert
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
260 W Cook St, Portage, WI, 53213-4161
Phone Number
608-742-2331
Fax Number
Provider Enumeration Date
04/12/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
260 W Cook St
City
Portage
State
Wisconsin
Zip
53901-2106
Phone Number
608-742-2331
Fax Number
person
Provider Business Mailing Address Details
Address
260 W Cook St
City
Portage
State
Wisconsin
Zip
53901-2106
Phone Number
608-742-2331
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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