Individual provider · Type 1 NPI

Mitchell Seubert, DDS

Student in an Organized Health Care Education/Training Program · Portage, WI

NPI number 1063946440 Active

Practice location

260 W Cook St
Portage, WI 53901-2106

Mailing address

1211 N 60th St, Apt #410
Wauwatosa, WI 53213-4161

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063946440

Mitchell Seubert, DDS's National Provider Identifier is 1063946440, issued on Apr 12, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portage, WI. The record was last updated on Apr 12, 2017.