DR. Grant James Mickesh, DDS is a student in an organized health care education training program in Milwaukee, WI. The provider is 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. DR. Grant James Mickesh, DDS NPI is 1144896598. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1801 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53233-186
Phone: (414) 288-6790
The enumeration date for this NPI number is 5/27/2021 and was last updated on 5/27/2021.