Individual
ANNA KRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
413 N 17TH AVE, WAUSAU, WI 54401-4611
(877) 842-4649
Mailing address
413 N 17TH AVE, WAUSAU, WI 54401-4611
(877) 842-4649
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1002764-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
RES-30600
IA
Other
Enumeration date
04/03/2020
Last updated
07/19/2022
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