Individual
DR. ALISA MARIE ONKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1460 10TH AVE STE B, BALDWIN, WI 54002-9342
(715) 688-3855
Mailing address
12589 20TH ST N, STILLWATER, MN 55082-1653
(612) 325-5454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5755
WI
1223G0001X
General Practice Dentistry
D11947
MN
Other
Enumeration date
04/12/2007
Last updated
08/13/2009
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