Individual
MRS. LAURA J WIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1910 COUNTY RD NN, ELKHORN, WI 53121
(262) 741-3200
Mailing address
PO BOX 1005, ELKHORN, WI 53121-1005
(262) 741-3410
(262) 741-3757
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3183
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41852800
—
WI
Enumeration date
12/04/2019
Last updated
12/04/2019
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