Individual
ANNA J SCHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
N2888 STATE ROAD 22, WAUTOMA, WI 54982-5265
(920) 787-3200
(920) 787-2541
Mailing address
PO BOX 509, WAUTOMA, WI 54982-0509
(920) 787-3200
(920) 787-2541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0005847
WI
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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