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JEFFREY D NIELSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3144 VAN ZILE RD., CRANDON, WI 54520-9001
(715) 478-5180
Mailing address
222 GRUBER ST, ANTIGO, WI 54409-2525
(715) 623-3324

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5002113
WI

Other

Enumeration date
03/03/2007
Last updated
11/24/2010
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