Individual
TODD A STAHNKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1209 MILLS ST, BLACK EARTH, WI 53515-9420
(608) 767-3604
(608) 767-3606
Mailing address
1250 PRAIRIE ST, PRAIRIE DU SAC, WI 53578-2041
(608) 643-8505
(608) 643-8097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4759-015
WI
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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