Individual
DR. TODD L NEEDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2535 NORTHERN RD, APPLETON, WI 54914-8753
(920) 731-3224
(920) 731-2910
Mailing address
2535 NORTHERN RD, APPLETON, WI 54914-8753
(920) 731-3224
(920) 731-2910
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1514G
WI
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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