Individual
DR. DAVID J WANSERSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
550 N 17TH AVE, WAUSAU, WI 54401-2901
(715) 848-2435
(715) 843-7769
Mailing address
550 N 17TH AVE, WAUSAU, WI 54401-2901
(715) 848-2435
(715) 843-7769
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2929
WI
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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