WILLIAM J. BAXA

INDEPENDENCE, WI
NPI1770695892
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  0003045)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Dr. WILLIAM J. BAXA
35791 OSSEO RD
INDEPENDENCE, WI 54747-9096
Phone number: 715-985-3316
Mailing Address
Dr. WILLIAM J. BAXA
35791 OSSEO RD PO BOX 550
INDEPENDENCE, WI 54747-9096
Phone number: 715-985-3316
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