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1295897361
KEITH L STAEHLY
GREEN BAY, WI
NPI
1295897361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 5001404-015)
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
Dr. KEITH L STAEHLY DDS
528 S IRWIN AVE
GREEN BAY, WI 54301-3846
Phone number: 920-465-9465
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Mailing Address
Dr. KEITH L STAEHLY DDS
528 S IRWIN AVE
GREEN BAY, WI 54301-3846
Phone number: 920-465-9465
Copy
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