MEDICARE: DR. WARREN FREDERICK BIEL DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	2393015	WI

General Provider Information

NPI Number	:	1306959960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WARREN FREDERICK BIEL DDS

Provider Business Mailing Address
First Line	:	2266 N PROSPECT AVE
Second Line	:	STE 504
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-6306
Country	:	US
Telephone Number	:	414-272-1066
Fax Number	:	414-272-1432

Provider Business Practice Location Address
First Line	:	2266 N PROSPECT AVE
Second Line	:	STE 504
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-6306
Country	:	US
Telephone Number	:	414-272-1066
Fax Number	:	414-272-1066

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	07/08/2007

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