Individual
DR. THOMAS KISSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2476 S ONEIDA ST, GREEN BAY, WI 54304-5289
(920) 965-0764
(920) 965-0807
Mailing address
2476 S ONEIDA ST, GREEN BAY, WI 54304-5289
(920) 065-0764
(920) 965-0807
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4976
WI
Other
Enumeration date
01/03/2007
Last updated
02/03/2008
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