Individual
DR. ANNA LAURA MINNEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
501 E LAKE ST, HORICON, WI 53032
(920) 485-4831
(920) 485-6780
Mailing address
501 E LAKE ST, HORICON, WI 53032-1264
(920) 485-4831
(920) 485-6780
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6539-15
WI
Other
Enumeration date
06/25/2010
Last updated
07/03/2019
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