Individual
WEIGUANG MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MDS PHD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449
(715) 387-5385
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5464
WI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
5464
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33772800
—
WI
Enumeration date
09/23/2006
Last updated
09/11/2025
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