Individual
JOSEPH WALTER GUERARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
325 E MAIN ST, WINNECONNE, WI 54986-9703
(920) 582-4343
(920) 582-2625
Mailing address
325 E MAIN ST, P.O.BOX 490, WINNECONNE, WI 54986-9703
(920) 582-4343
(920) 582-2625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001817
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33350900
—
WI
Enumeration date
09/20/2006
Last updated
07/08/2007
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