Individual
DR. STEPHANIE KAYE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
301 N 17TH AVE STE 200, WAUSAU, WI 54401-4750
(715) 662-6452
Mailing address
301 N 17TH AVE STE 200, WAUSAU, WI 54401-4750
(715) 662-6452
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6002276-15
WI
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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