Individual
ELLEN BURSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
418 23RD AVE E, SUPERIOR, WI 54880-3707
(715) 398-3239
Mailing address
418 23RD AVE E, SUPERIOR, WI 54880-3707
(715) 398-3239
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
600124215
WI
122300000X
Dentist
D14221
MN
Other
Enumeration date
05/28/2019
Last updated
07/14/2023
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