| NPI | 1659796944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY R BUTCHERT Owner 715-552-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 5001709-15) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |