St. Vincent De Paul Of Sauk Prairie/ Roxbury, INC
Dentist, General Practice in Prairie Du Sac, WI. Organization (NPI-2).
NPI number1982901088
StatusActive
Last updated in NPPESFeb 25, 2011
Details
- NPI
- 1982901088
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Vincent De Paul Of Sauk Prairie/ Roxbury, INC
- Organization subpart
- No
- Enumeration date
- Feb 25, 2011
- Last updated
- Feb 25, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
1906 North StPrairie Du Sac, WI 53578-1148
Phone 608-643-8905
Mailing address
815 19th StPrairie Du Sac, WI 53578-1195
Phone 608-643-8905
Authorized official
Karen Fabisiak
General Manager
6086438905
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