Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susan Stacker DDS SC

Organization Periodontics · NPI 1497819585

Susan Stacker DDS SC is a Periodontics in Wausau, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

1220 6th St
Wausau, WI 54403-3550
Phone: (715) 845-7759
Fax: (715) 845-4509
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 4828 (WI)

Record details

NPI number1497819585
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Stacker — President · (715) 845-7759
NPI enumeratedDecember 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1220 6th Street, Wausau, WI 54403-3550

Other providers in Wausau