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General NPI Number Information
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NPI Number | 1063622561
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Entity Type | Organization
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Legal Business Name | STANLEY I. SEHLER D.D.S, S.C
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2300 N MAYFAIR RD STE 705
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City | MILWAUKEE
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State | WI
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Zip | 53226-1533
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Country | US
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Telephone | 414-259-9440
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Fax | 414-259-0589
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Provider Business Mailing Address
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Address Line | 2300 N MAYFAIR RD STE 705
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City | MILWAUKEE
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State | WI
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Zip | 53226-1533
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Country | US
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Telephone | 414-259-9440
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Fax | 414-259-0589
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Authorized Official
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Title or Position | PERIODONTIST
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Name | DR. STANLEY I SEHLER
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Credential |
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Telephone | 414-259-9440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 1838E
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License Number State | WI
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