Individual
DR. ELIZABETH RAE BIRR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1819 PARK AVE, PLOVER, WI 54467-4304
(715) 544-6100
(715) 544-6104
Mailing address
1819 PARK AVE, PLOVER, WI 54467-4304
(715) 544-6100
(715) 544-6104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6400-15
WI
Other
Enumeration date
06/05/2009
Last updated
12/16/2011
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