Individual
MICHAEL D WESSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
172 CHRISTY ST, AMHERST, WI 54406-9389
(715) 824-3300
Mailing address
172 CHRISTY ST, AMHERST, WI 54406-9389
(715) 824-3300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3194GWI
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33686900
—
WI
Enumeration date
07/16/2008
Last updated
07/16/2008
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