Individual
DR. CHRISTINE A LIESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1105 4TH AVE, WOODRUFF, WI 54568
(715) 356-3474
(715) 358-5145
Mailing address
PO BOX 260, WOODRUFF, WI 54568-0260
(715) 356-3474
(715) 358-5145
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3843
WI
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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