Individual
DR. VINCENT E BEARJAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2600 STEWART AVE, SUITE 158, WAUSAU, WI 54401-4148
(715) 842-5691
(715) 845-2701
Mailing address
2600 STEWART AVE, WAUSAU, WI 54401-1404
(715) 842-5691
(715) 845-2701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2398
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33451400
—
WI
Enumeration date
05/17/2006
Last updated
07/08/2007
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