Individual
DR. GERALD WILLIAM PACZKOWSKI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1614 WASHINGTON STREET, TWO RIVERS, WI 52421
(920) 794-8911
Mailing address
1614 WASHINGTON STREET, TWO RIVERS, WI 52421
(920) 794-8911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5372015
WI
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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