Joshua Flavin
Dentist in Wausau, WI. Individual provider (NPI-1).
NPI number1750836623
StatusActive
Last updated in NPPESAug 22, 2016
Details
- NPI
- 1750836623
- Entity type
- Individual (NPI-1)
- Name
- Joshua Flavin
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2016
- Last updated
- Aug 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 1001413 | WI | Yes |
Practice location
200 E Bridge St Ste 100Wausau, WI 54403-3574
Phone 715-843-9800 · Fax 715-843-9819
Mailing address
200 E Bridge St Ste 100Wausau, WI 54403-3574
Phone 715-843-9800 · Fax 715-843-9819
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