Individual
DR. EDMUND LAWRENCE MARKEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
413 N 17TH AVE, WAUSAU, WI 54401-4226
(715) 842-4649
Mailing address
413 N 17TH AVE, WAUSAU, WI 54401-4226
(715) 842-4649
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6485-15
WI
Other
Enumeration date
11/13/2008
Last updated
04/18/2012
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