Individual
ANNE SIEGRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
224 W CALUMET STREET, APPLETON, WI 54915-4935
(920) 730-9222
Mailing address
224 W CALUMET STREET, APPLETON, WI 54915-4935
(920) 730-9222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
W3028
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33471300
—
WI
Enumeration date
07/14/2006
Last updated
09/07/2007
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