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1700096641
GERALD STEPHEN WALCZAK
STEVENS POINT, WI
NPI
1700096641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 3383)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Dr. GERALD STEPHEN WALCZAK D.D.S.
5625 WOODLAND ST
STEVENS POINT, WI 54481-8637
Phone number: 715-341-8335
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Mailing Address
Dr. GERALD STEPHEN WALCZAK D.D.S.
292 MAPLE BLUFF RD
STEVENS POINT, WI 54481-9267
Phone number: 715-345-2168
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