Individual
VAN W SYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
200 E BRIDGE ST STE 100, WAUSAU, WI 54403-3574
(715) 843-9800
Mailing address
200 E BRIDGE ST STE 100, WAUSAU, WI 54403-3574
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001907-15
WI
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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