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Michael P Funk, DDS
Pediatric Dentist in La Crosse, Wisconsin
NPI 1881690170

Michael P Funk is a Pediatric Dentist based in La Crosse, WI and is specialized in Pediatric Dentistry. Michael P Funk practices in La Crosse, WI and has the professional credentials of DDS. The NPI Number for Michael P Funk is 1881690170 and holds a License No. 2321 (Wisconsin).

The current practice location address for Michael P Funk is 1836 South Ave, La Crosse, WI and can be reached out via phone at 608-782-7300.

Location: 1836 South Ave, La Crosse, WI, 54601-5429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881690170
Provider Name
Michael P Funk
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1836 South Ave, La Crosse, WI, 54601-5429
Phone Number
608-782-7300
Fax Number
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33387100 05 WI
institution
Provider Business Practice Location Address Details
Address
1836 South Ave
City
La Crosse
State
Wisconsin
Zip
54601-5429
Phone Number
608-782-7300
Fax Number
person
Provider Business Mailing Address Details
Address
1836 South Ave
City
La Crosse
State
Wisconsin
Zip
54601-5429
Phone Number
608-782-7300
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2321 (Wisconsin)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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