Individual
STEPHEN J WEDDLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
605 PETERSON DR, PHILLIPS, WI 54555-1430
(715) 339-3021
Mailing address
605 PETERSON DR, PO BOX 10, PHILLIPS, WI 54555-1430
(715) 339-3021
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001701
WI
Other
Enumeration date
08/09/2005
Last updated
07/08/2007
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