Individual
MRS. ABBIE RUTH KERSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
4144 HARBOR TOWN LN STE 600, MANITOWOC, WI 54220-5856
(920) 638-9701
Mailing address
3743 MACKERT ST APT 6, MANITOWOC, WI 54220-4183
(319) 610-2165
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6727
WI
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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