Individual
DR. GERALD STEPHEN WALCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5625 WOODLAND ST, STEVENS POINT, WI 54481-8637
(715) 341-8335
Mailing address
292 MAPLE BLUFF RD, STEVENS POINT, WI 54481-9267
(715) 345-2168
(715) 343-0977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3383
WI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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