Individual
REBECCA ANN WILLFAHRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 W MCMILLAN ST, MARSHFIELD, WI 54449-6013
(715) 387-1702
Mailing address
306 W MCMILLAN ST, MARSHFIELD, WI 54449-6013
(715) 387-1702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100266-15
WI
Other
Enumeration date
06/08/2021
Last updated
05/18/2022
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