| Gary L Kaefer Dds Sc | |
|
302 South Pine St Grantsburg WI 54840 | |
| (715) 463-2882 | |
| (715) 463-2885 |
| Full Name | Gary L Kaefer Dds Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 302 South Pine St, Grantsburg, Wisconsin |
| Authorized Official Name and Position | Gary L Kaefer (OWNER) |
| Authorized Official Contact | 7154632882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary L Kaefer Dds Sc 302 South Pine St Grantsburg WI 54840 Ph: (715) 463-2882 | Gary L Kaefer Dds Sc 302 South Pine St Grantsburg WI 54840 Ph: (715) 463-2882 |
| NPI Number | 1508949082 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508949082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5001913 (Wisconsin) | Primary |