Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CLARENCE E KUSIK
Active Sole ProprietorDentist · OKAUCHEE, WI
Registration Details
- NPI Number
- 1245407550
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2008 (17.954305540346 yrs)
- Last Updated
- Feb 3, 2022
- Licenses
-
5000432015 (WI)5000432-15 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
N50 W34838 WISCONSIN AVE.OKAUCHEE, WI, 53069Browse WI providers · Browse ZIP 53069
- Phone
- 2625673171
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dental Clinic
Other Dentist Providers in OKAUCHEE, WI
| Name | Credential | NPI |
|---|---|---|
| DR. GOTTFRIED HOHM | DDS | 1427385483 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.