Individual
DR. STACEY ERICA MADSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1111 W VALLEY RD, APPLETON, WI 54915-1485
(920) 733-1111
(920) 380-4056
Mailing address
1111 W VALLEY RD, APPLETON, WI 54915-1485
(920) 733-1111
(920) 380-4056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6286-015
WI
Other
Enumeration date
08/06/2008
Last updated
09/03/2013
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