Individual
MS. SHAINA BLAIR RENNEGARBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1637 MAIN ST, ONALASKA, WI 54650-2853
(608) 781-3999
Mailing address
519 BENNORA LEE CT, LA CROSSE, WI 54601-6281
(618) 363-3300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001608-15
WI
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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