Individual
MS. BARBARA J BEUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
450 OLD ABE RD, LAC DU FLAMBEAU, WI 54538-9682
(715) 588-4269
(715) 588-2269
Mailing address
450 OLD ABE RD, PO BOX 450, LAC DU FLAMBEAU, WI 54538-9682
(715) 588-4269
(715) 588-2269
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5083015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33753600
—
WI
01
—
58357
SECURITY HEALTH PLAN
WI
Enumeration date
08/18/2006
Last updated
09/24/2012
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