Individual
JILL MARIE SCHUESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
200 S EXECUTIVE DR, SUITE 101, BROOKFIELD, WI 53005-4216
(888) 964-6681
(888) 662-0859
Mailing address
888 WORCESTER ST, SUITE 130, WELLESLEY, MA 02482-3744
(617) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3143-016
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33827800
—
WI
Enumeration date
07/01/2008
Last updated
09/05/2012
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