Organization
ST. VINCENT DE PAUL OF SAUK PRAIRIE/ ROXBURY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN FABISIAK (GENERAL MANAGER)
(608) 643-8905
Entity
Organization
Contact information
Practice address
1906 NORTH ST, PRAIRIE DU SAC, WI 53578-1148
(608) 643-8905
Mailing address
815 19TH ST, PRAIRIE DU SAC, WI 53578-1195
(608) 643-8905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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