Individual
JOSHUA FLAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 E BRIDGE ST STE 100, WAUSAU, WI 54403-3574
(715) 843-9800
(715) 843-9819
Mailing address
200 E BRIDGE ST STE 100, WAUSAU, WI 54403-3574
(715) 843-9800
(715) 843-9819
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001413
WI
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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