Individual
MR. DOUGLAS D PODOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
404 WISCONSIN AVE, AMERY, WI 54001
(715) 268-8109
(715) 268-4620
Mailing address
404 WISCONSIN AVE, AMERY, WI 54001
(715) 268-8109
(715) 268-4620
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0003237
WI
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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