Individual
EDWARD MARK PFLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
342 W WISCONSIN AVE, APPLETON, WI 54911-4340
(920) 733-8309
Mailing address
342 W WISCONSIN AVE, APPLETON, WI 54911-4340
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3593015
WI
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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