Individual
MR. ERIC J GABRIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 E. BRIDGE ST., STE-100, WAUSAU, WI 54403
(713) 843-9800
(715) 843-9819
Mailing address
200 E BRIDGE ST., STE-100, WAUSAU, WI 54403
(713) 843-9800
(715) 843-9819
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6445-015
WI
1223G0001X
General Practice Dentistry
6445-15
WI
Other
Enumeration date
08/11/2009
Last updated
04/11/2011
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