Individual
DR. WILLIAM C. MARTINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1858 SUPREIOR ST., THREE LAKES, WI 54562
(715) 546-2101
Mailing address
PO BOX 284, THREE LAKES, WI 54562-0284
(715) 546-2101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5002065
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33373200
—
WI
Enumeration date
09/14/2007
Last updated
09/14/2007
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