Organization
WISCONSIN INSTITUTE OF SLEEP APNEA S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY WILLEY DDS (OWNER)
(309) 303-0426
Entity
Organization
Contact information
Practice address
413 N 17TH AVE STE 100, WAUSAU, WI 54401-4287
(715) 298-4454
(715) 802-8568
Mailing address
11825 STATE ROUTE 40 STE 100, DUNLAP, IL 61525-8842
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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