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200 E Bridge St Suite 100 Wausau WI 54403-3574 | |
| (715) 843-9800 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 E Bridge St, Wausau, Wisconsin |
| Authorized Official Name and Position | Kim Wilson (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
200 E Bridge St Suite 100 Wausau WI 54403-3574 Ph: (715) 843-9800 | 200 E Bridge St Suite 100 Wausau WI 54403-3574 Ph: (715) 843-9800 |
| NPI Number | 1235404732 |
|---|---|
| Provider Enumeration Date | 03/16/2012 |
| Last Update Date | 03/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235404732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (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 |