Individual
JEFFREY L GASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
140 BUSINESS 141 N, COLEMAN, WI 54112
(920) 897-3573
Mailing address
PO BOX 185, COLEMAN, WI 54112-0185
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3276
WI
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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