Individual
WESLEY WILLIAM DITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
735 S CENTRAL AVE, MARSHFIELD, WI 54449-4106
(715) 384-3515
Mailing address
400 GRANDVIEW CT APT 400, IOWA CITY, IA 52246-3208
(715) 581-4600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001217-15
WI
Other
Enumeration date
02/03/2023
Last updated
06/26/2023
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