Individual
GLEN ALFRED MAGYERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3216 BUSINESS PARK DRIVE, STEVENS POINT, WI 54481
(715) 341-7171
(715) 341-5160
Mailing address
3216 BUSINESS PARK DR, STEVENS POINT, WI 54481-8838
(715) 341-7171
(715) 341-5160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
WI2735
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33426700
—
WI
Enumeration date
03/14/2007
Last updated
07/08/2007
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