Individual
JOSHUA J SPIEGL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
413 N 17TH AVE, WAUSAU, WI 54401-4226
(715) 842-4649
(715) 842-7331
Mailing address
413 N 17TH AVE, WAUSAU, WI 54401-4226
(715) 842-4649
(715) 842-7331
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6092-15
WI
1223P0221X
Pediatric Dentistry
D11728
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338810600
—
WI
Enumeration date
03/03/2006
Last updated
04/12/2011
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