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DR. CRAIG WILLIAM BYERS DDS

Periodontics

Wauwatosa, Wisconsin

Provider NPI: 1285937557

Provider Information:
DR. CRAIG WILLIAM BYERS DDS
Gender: M
Not Sole Proprietor

Practice Location:
2457 NORTH MAYFAIR ROAD SUITE 102 WAUWATOSA, WI 53226 US
Tel: 414-257-1221  Fax: 414-257-1289

Business Mailing Address:
2457 NORTH MAYFAIR ROAD SUITE 102 WAUWATOSA, WI 53226 US
Tel: 414-257-1221  Fax: 414-257-1289

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0300XDental Providers
Dentist
Periodontics
WI5000754-015

Other Provider Identifiers:

IssuerNumberStateType
33537200WI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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