Individual
DR. MICHAEL STEPHEN PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
107 E LOCUST ST, RIVER FALLS, WI 54022-2419
(715) 425-8772
Mailing address
107 E LOCUST ST, RIVER FALLS, WI 54022-2419
(715) 425-8772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6678-015
WI
1223G0001X
General Practice Dentistry
D12968
MN
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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