Individual
ERICA JEAN STANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1200 MAIN ST, LA CROSSE, WI 54601-4102
(608) 782-5675
Mailing address
1200 MAIN ST, LA CROSSE, WI 54601-4102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6257-15
WI
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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