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NPI Code Detail

MEDICARE: DRS HOGE & JARZEMBINSKI, LTD

MEDICARE: DRS HOGE & JARZEMBINSKI, LTD
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
11223P0300XPeriodontics5000644015WI
21223P0300XPeriodontics4047015WI

General Provider Information

NPI Number : 1144282542
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRS HOGE & JARZEMBINSKI, LTD
Provider Business Mailing Address
First Line : 6944 NORTH PORT WASHINGTON RD
Second Line :
City : MILWAUKEE
State : WI
Zip : 53217
Country : US
Telephone Number : 414-352-8887
Fax Number : 414-352-5566
Provider Business Practice Location Address
First Line : 6944 NORTH PORT WASHINGTON RD
Second Line :
City : MILWAUKEE
State : WI
Zip : 53217
Country : US
Telephone Number : 414-352-8887
Fax Number : 414-352-5566
Authorized Official
Title or Position : OWNER
Name : CYNTHIA T. JARZEMBINSKI
Credential : D.D.S., M.S.
Telephone Number : 414-352-8887
Provider Enumeration Date : 04/03/2006
Last Update Date : 11/09/2017

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Directions to “DRS HOGE & JARZEMBINSKI, LTD ” Practice Location

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