| David E Krigbaum Dds Sc | |
|
2620 Stewart Ave Suite 218 Wausau WI 54401-4170 | |
| (715) 842-8811 | |
| (715) 848-5109 |
| Full Name | David E Krigbaum Dds Sc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2620 Stewart Ave, Wausau, Wisconsin |
| Authorized Official Name and Position | David Krigbaum (OWNER) |
| Authorized Official Contact | 7158428811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David E Krigbaum Dds Sc 2620 Stewart Ave Suite 218 Wausau WI 54401-4170 Ph: () - | David E Krigbaum Dds Sc 2620 Stewart Ave Suite 218 Wausau WI 54401-4170 Ph: (715) 842-8811 |
| NPI Number | 1841411659 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841411659 | NPI | - | NPPES |
| 1750453049 | Other | WI | NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4501 (Wisconsin) | Primary |
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