Individual
STEPHEN ROELOF FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2901 CHURCH ST, STEVENS POINT, WI 54481
(715) 344-9684
(715) 344-1684
Mailing address
424 MARY ANN AVE, STEVENS POINT, WI 54481
(715) 344-4412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2809
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33436400
—
WI
Enumeration date
08/21/2006
Last updated
07/08/2007
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