Individual
DR. TERRY D CISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1602 N RANDALL AVE, JANESVILLE, WI 53545-1124
(608) 756-8744
(608) 756-5344
Mailing address
104 SEMINOLE ROAD, JANESVILLE, WI 53545-1124
(608) 756-8744
(608) 756-5344
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5001150
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1008520
PHYSICIANS PLUS INSURANCE
WI
01
—
1020
DEAN HEALTH CARE
WI
Enumeration date
09/26/2006
Last updated
07/08/2007
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