Individual
MARK ALAN SLABBEKOORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
850 LAKELAND DR, CHIPPEWA FALLS, WI 54729-1687
(715) 738-2000
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
24023
TX
Other
Enumeration date
10/04/2005
Last updated
09/21/2011
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