Individual
JACOB W FERRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3712 TOWER AVE, SUITE A, SUPERIOR, WI 54880-5567
(715) 394-5792
(715) 398-7455
Mailing address
3712 TOWER AVE, SUITE A, SUPERIOR, WI 54880-5567
(715) 394-5792
(715) 398-7455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001387-15
WI
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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