Christine A Liesen is a Dentist in Woodruff, Wisconsin. Christine A Liesen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Christine A Liesen is 1104964998. The last update date is 2007-07-08.
Christine A Liesen's current location address is Po Box 260, Woodruff, Wisconsin. You can contact this provider via phone number 7153563474 and fax number 7153585145. The mailing address for Christine A Liesen is Po Box 260, Woodruff, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christine A Liesen |
|---|---|
| Address | Po Box 260, Woodruff, Wisconsin |
| Phone Number | 7153563474 |
| Fax Number | 7153585145 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1104964998 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 260 |
|---|---|
| City | Woodruff |
| State | Wisconsin (WI) |
| Post Code | 545680260 |
| Phone Number | 7153563474 |
| Fax Number | 7153585145 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3843 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Christine A Liesen by the Centers for Medicare & Medicaid Services (CMS)?
The Christine A Liesen has been assigned the NPI (National Provider Identifier) 1104964998. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Christine A Liesen located?
The Christine A Liesen is located at Po Box 260, Woodruff, WI 545680260.
What is Christine A Liesen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Christine A Liesen is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104964998 to Christine A Liesen?
The Christine A Liesen received its 1104964998 assignment from the Centers for Medicare & Medicaid Services on 2007-02-02.
When was the information pertaining to Christine A Liesen most recently updated or revised?
The details related to Christine A Liesen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1912900614
Address: 3558 Jefferson St N Ste 1, Lewisburg, WV