DR. Susan Stacker

NPI #1306903786 in Wausau, Wisconsin

Provider Information

NPI Number
1306903786
Entity Type
Individual
Name
DR. Susan Stacker
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Periodontics
Enumeration Date
Jan 3, 2007
Last Updated
Mar 4, 2014

Practice Location

Address
1220 N 6 STREET
City
Wausau
ZIP Code
54401-1220
Phone
(715) 845-7759

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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