Michael P. Waliszewski DDS, MsD
Call (262) 787-0677
PATIENT INFORMATION
REFERRING DOCTORS
19990 W Greenfield Ave
Brookfield, WI 53045
(262) 787-0677
Forwarding Email:
... for forwarding referral notes, digital radiographs, and other information on referred patients.
Please de-identify any emailed data (do not use patients last name)
As a courtesy, we will submit to your dental benefit plan. However, we are not in any network. We recommend treatment based on what is best for you the patient rather than on what an insurance company believes is most economical for them.
This means you would be reimbursed directly from your benefit provider based on your plan limitations after treatment has been paid.
We are not a Medicare or Medicaid provider.
For new patients:
1. Download/print the health history and information form
2. Fill out and bring to first visit
Fax:
(262) 787-0679
19990 W Greenfield Ave
Brookfield, WI 53045
