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Individual

EMMA BARNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15954 RIVERSEDGE DRIVE, HAYWARD, WI 54843
(715) 634-2541
Mailing address
15960 W 5TH ST, HAYWARD, WI 54843-7121

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
600186415
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/18/2023
Last updated
07/11/2025
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