Individual
MADISON KASPAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
301 N 17TH AVE # 200, WAUSAU, WI 54401-4225
(715) 842-3933
Mailing address
301 N 17TH AVE # 200, WAUSAU, WI 54401-4225
(715) 842-3933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001037-15
WI
122300000X
Dentist
PAR-0000001717
WI
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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