Susan Stacker DDS Sc

NPI #1497819585 in Wausau, Wisconsin

Provider Information

NPI Number
1497819585
Entity Type
Organization
Organization Name
Susan Stacker DDS Sc
Primary Specialty
Dentist - Periodontics
Enumeration Date
Dec 21, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1220 6TH STREET
City
Wausau
ZIP Code
54403-3550
Phone
(715) 845-7759

Authorized Official

Name
DR. SUSAN A STACKER, DDS
Title
PRESIDENT
Phone
(715) 845-7759

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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