KEITH A STUMMER

KENOSHA, WI
NPI1154473049
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  3556015)
Enumeration Date2007-01-18
Last Update Date2007-07-08
Business Address
-- KEITH A STUMMER D.D.S.
3100 80TH ST
KENOSHA, WI 53142-4946
Phone number: 262-694-2961
Mailing Address
-- KEITH A STUMMER D.D.S.
4467 114TH ST
PLEASANT PRAIRIE, WI 53158-3860
Phone number: 262-764-0368
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