JOSEPH RAYMOND THEISEN

EAU CLAIRE, WI
NPI1558374686
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  5000361-015)
Enumeration Date2006-08-13
Last Update Date2007-07-09
Business Address
-- JOSEPH RAYMOND THEISEN D.D.S.
1102 REGIS CT
EAU CLAIRE, WI 54701-4404
Phone number: 715-834-2032
Mailing Address
-- JOSEPH RAYMOND THEISEN D.D.S.
1102 REGIS CT
EAU CLAIRE, WI 54701-4404
Phone number: 715-834-2032
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