DR. Michael J Bouressa, DDS

NPI #1902829724 in Neenah, Wisconsin

Provider Information

NPI Number: 1902829724
Entity Type: Individual
Name: DR. Michael J Bouressa, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1416 S COMMERCIAL ST
City: Neenah
State: Wisconsin
ZIP Code: 54956-4664
Phone: (920) 725-3033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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