Individual
MADALYN FAYE WERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1720 CONGRESS AVE, OSHKOSH, WI 54901-7701
(920) 235-3251
Mailing address
1720 CONGRESS AVE, OSHKOSH, WI 54901-7701
(920) 235-3251
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001646-15
WI
Other
Enumeration date
07/11/2017
Last updated
07/21/2022
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