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2606 Stewart Avenue #102 Wausau WI 54401 | |
| (715) 848-3982 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2606 Stewart Avenue, Wausau, Wisconsin |
| Authorized Official Name and Position | Mitch Weiland (SENIOR ACCOUNTANT) |
| Authorized Official Contact | 6083430818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2606 Stewart Avenue #102 Wausau WI 54401 Ph: () - | 2606 Stewart Avenue #102 Wausau WI 54401 Ph: (715) 848-3982 |
| NPI Number | 1164031464 |
|---|---|
| Provider Enumeration Date | 07/23/2020 |
| Last Update Date | 05/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164031464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
John W. Stilp, Dds, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Westhill Drive, Suite 301, Wausau, WI 54401 Phone: 715-845-4511 Fax: 715-845-1898 | |
John A Krasowski Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 N 17th Ave, Ste 2, Wausau, WI 54401 Phone: 715-845-9372 Fax: 715-845-7849 | |
James S Kim Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 S 24th Ave, Ste 200, Wausau, WI 54401 Phone: 715-849-5667 Fax: 715-849-5667 | |
David J. Wanserski, Dds, Ms, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 N 17th Ave, Wausau, WI 54401 Phone: 715-848-2435 Fax: 715-843-7769 |