Individual
DR. ROGER GARY STANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
315 W WISCONSIN AVE, APPLETON, WI 54911-4355
(920) 731-2211
Mailing address
315 W WISCONSIN AVE, APPLETON, WI 54911-4355
(920) 731-2211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1138G
WI
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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