St. Vincent De Paul of Sauk Prairie/ Roxbury, INC
NPI #1982901088 in Prairie Du Sac, Wisconsin
Provider Information
- NPI Number
- 1982901088
- Entity Type
- Organization
- Organization Name
- St. Vincent De Paul of Sauk Prairie/ Roxbury, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 25, 2011
- Last Updated
- Feb 25, 2011
Practice Location
- Address
- 1906 NORTH ST
- City
- Prairie Du Sac
- State
- Wisconsin
- ZIP Code
- 53578-1148
- Phone
- (608) 643-8905
Authorized Official
- Name
- KAREN FABISIAK
- Title
- GENERAL MANAGER
- Phone
- (608) 643-8905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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