| NPI | 1952521692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE SCHROEPFER Office Manager 715-735-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5001489) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2011-03-09 |