Individual
DR. MICHAEL E GIEBENHAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
N6625 COUNTY ROAD A, BLACK RIVER FALLS, WI 54615-5852
(715) 284-3100
Mailing address
N7068 W KENYON RD, BLACK RIVER FALLS, WI 54615-5649
(612) 816-8429
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6272-15
WI
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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