Individual
ROSS D WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
125 N HIGH ST, RANDOLPH, WI 53956-1267
(920) 326-3194
(920) 326-3651
Mailing address
125 N HIGH ST, RANDOLPH, WI 53956-1267
(920) 326-3194
(920) 326-3651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3858015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33686100
—
WI
Enumeration date
12/06/2006
Last updated
07/08/2007
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