Individual
BROOKE A STEPHNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HYG
Contact information
Practice address
1250 PRAIRIE ST, PRAIRIE DU SAC, WI 53578-2041
(608) 644-0909
(608) 643-8097
Mailing address
1250 PRAIRIE ST, PRAIRIE DU SAC, WI 53578-2041
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1002668
WI
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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