Individual
WILLIAM J. TWOHIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
417 E ANN ST, WEYAUWEGA, WI 54983-8532
(920) 867-3101
(920) 867-3108
Mailing address
PO BOX 579, WEYAUWEGA, WI 54983-0579
(920) 867-3101
(920) 867-3108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001630
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33562400
—
WI
01
—
898039
UNITED CONCORDIA PROVIDER
WI
Enumeration date
05/24/2005
Last updated
06/19/2019
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