Susan Stacker is a Periodontics in Wausau, Wisconsin. Susan Stacker practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Susan Stacker is 1306903786. The last update date is 2014-03-04.
Susan Stacker's current location address is 1220 N 6 Street, Wausau, Wisconsin. You can contact this provider via phone number 7158457759 and fax number 7158454509. The mailing address for Susan Stacker is 1220 N 6 Street, Wausau, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan Stacker |
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Address | 1220 N 6 Street, Wausau, Wisconsin |
Phone Number | 7158457759 |
Fax Number | 7158454509 |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1306903786 |
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Provider Enumeration Date | 2007-01-03 |
Last Updated Date | 2014-03-04 |
Provider Mailing Address Detail
Address | 1220 N 6 Street |
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City | Wausau |
State | Wisconsin (WI) |
Post Code | 544031220 |
Phone Number | 7158457759 |
Fax Number | 7158454509 |
Provider's Primary Taxonomy Detail
Speciality | Periodontics |
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Taxonomy | 1223P0300X |
Licence No | 4828 |
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan Stacker by the Centers for Medicare & Medicaid Services?
The Susan Stacker has been assigned the NPI (National Provider Identifier) 1306903786 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Susan Stacker?
The Susan Stacker is situated at 1220 N 6 Street, in the city of Wausau, state of WI, with the zip code 544031220.
What is Susan Stacker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Susan Stacker is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
On what date was the 1306903786 assigned to Susan Stacker?
The Susan Stacker was issued its 1306903786 on 2007-01-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Susan Stacker most recently updated or revised?
The information pertaining to Susan Stacker, including its address, specialty, and other relevant details, was last updated or revised on 2014-03-04.
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