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Individual

DR. MARSHALL F GIBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1477 W SOUTH PARK AVE, OSHKOSH, WI 54902-6679
(920) 231-3023
Mailing address
2711 VILLAGE LN, OSHKOSH, WI 54904-8187

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6729
WI

Other

Enumeration date
06/13/2011
Last updated
06/13/2011
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