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Organization

JOHN W. STILP, DDS, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN WILLIAM STILP DDS (PRESIDENT)
(715) 845-4511
Entity
Organization

Contact information

Practice address
3000 WESTHILL DRIVE, SUITE 301, WAUSAU, WI 54401
(715) 845-4511
(715) 845-1898
Mailing address
3000 WESTHILL DRIVE, SUITE 301, WAUSAU, WI 54401
(715) 845-4511
(715) 845-1898

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
500212
WI

Other

Enumeration date
04/23/2010
Last updated
04/23/2010
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