Individual
BROOK WIBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
103 W MCMILLAN ST STE 2, MARSHFIELD, WI 54449-1039
(715) 298-3983
Mailing address
413 N 17TH AVE, WAUSAU, WI 54401-4611
(715) 298-3983
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
100335416
WI
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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