Individual
DR. AMY LYNN WIEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
N25W26378 WHITETAIL CT, PEWAUKEE, WI 53072-4574
(262) 695-8363
Mailing address
N25W26378 WHITETAIL CT, PEWAUKEE, WI 53072-4574
(262) 695-8363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4822-15
WI
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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