Individual
DR. CHAD RANDALL SEUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3164 FINGER RD, GREEN BAY, WI 54311-7602
(920) 471-0022
(920) 471-0755
Mailing address
3164 FINGER RD, GREEN BAY, WI 54311-7602
(920) 471-0022
(920) 471-0755
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1001261
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
362
OK
Other
Enumeration date
04/03/2012
Last updated
07/01/2024
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