MICHELLE ARLENE VANDERWYST

WAUSAU, WI
NPI1801033402
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  6627-016)
Enumeration Date2009-01-20
Last Update Date2009-01-20
Business Address
-- MICHELLE ARLENE VANDERWYST RDH
413 N 17TH AVE
WAUSAU, WI 54401-4226
Phone number: 715-842-4649
Mailing Address
-- MICHELLE ARLENE VANDERWYST RDH
413 N 17TH AVE
WAUSAU, WI 54401-4226
Phone number: 715-842-4649
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