Individual
DR. MICHAEL J BOURESSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1416 S COMMERCIAL ST, NEENAH, WI 54956-4664
(920) 725-3033
(920) 725-5098
Mailing address
1416 S COMMERCIAL ST, NEENAH, WI 54956-4664
(920) 725-3033
(920) 725-5098
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5002124-015
WI
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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