Individual
DR. CRAIG JAMES FORSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
210 N LEONARD ST, WEST SALEM, WI 54669-1623
(608) 786-1632
Mailing address
210 N LEONARD ST, WEST SALEM, WI 54669-1623
(608) 786-1632
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2948
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33441300
—
WI
Enumeration date
11/30/2006
Last updated
07/09/2007
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