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Mitchell Lee Tschakert, DDS
Student in an Organized Health Care Education/Training Program in Superior, Wisconsin
NPI 1104682772

Mitchell Lee Tschakert is a Student in an Organized Health Care Education/Training Program based in Watertown, WI. Mitchell Lee Tschakert practices in Superior, WI and has the professional credentials of DDS. The NPI Number for Mitchell Lee Tschakert is 1104682772 and holds a License No. (Wisconsin).

The current practice location address for Mitchell Lee Tschakert is 2222 E 5Th St, Superior, WI and can be reached out via phone at 218-722-1497.

Location: 2222 E 5Th St, Superior, WI, 57201-6802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104682772
Provider Name
Mitchell Lee Tschakert
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2222 E 5Th St, Superior, WI, 57201-6802
Phone Number
218-722-1497
Fax Number
Provider Enumeration Date
02/22/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2222 E 5Th St
City
Superior
State
Wisconsin
Zip
54880-3709
Phone Number
218-722-1497
Fax Number
person
Provider Business Mailing Address Details
Address
2222 E 5Th St
City
Superior
State
Wisconsin
Zip
54880-3709
Phone Number
218-722-1497
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.
()
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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