Individual
MICHELLE MARIE KRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
720 GARFIELD AVE, LADYSMITH, WI 54848-1271
(715) 532-7054
Mailing address
416 GATES AVE, LADYSMITH, WI 54848-1156
(715) 403-1817
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11107-16
WI
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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