Dr. Stephan William Klug, DDS
Dentist in Mequon, WI. Individual provider (NPI-1).
NPI number1164574323
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164574323
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stephan William Klug
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 17, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2966 | WI | Yes |
Practice location
1017 W Glen Oaks LaneSuite 211
Mequon, WI 53092
Phone 262-241-4440 · Fax 262-241-3331
Mailing address
1017 W Glen Oaks LaneSuite 211
Mequon, WI 53092
Phone 262-241-4440 · Fax 262-241-3331
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All 21 Dentist providers in Mequon · All 1,400 providers in Mequon
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