EVAN C KOUBSKY

EAU CLAIRE, WI
NPI1134659576
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: WI  1001532)
Enumeration Date2017-06-18
Last Update Date2017-06-18
Business Address
DR. EVAN C KOUBSKY DDS
2302 HENDRICKSON DR
EAU CLAIRE, WI 54701-6185
Phone number: 715-836-0136
Mailing Address
DR. EVAN C KOUBSKY DDS
225 RIVERFRONT TER APT 306
EAU CLAIRE, WI 54703-6399
Phone number: 320-291-8449