Dr. Susan Stacker
Dr. Susan Stacker is a Periodontics in Wausau, Wisconsin. Licensed in Illinois and Wisconsin. Registered with an NPI since 2007.
- Licensed in
- IL, WI
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
1220 N 6 StWausau, WI 54401-1220
Phone: (715) 845-7759
Fax: (715) 845-4509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 4828 (WI) |
|---|---|
| Periodontics | Taxonomy 1223P0300X · Licence 4828 (IL) |
Record details
| NPI number | 1306903786 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 3, 2007 |
| Last updated in NPPES | March 4, 2014 |
| Mailing address | 1220 N 6 Street, Wausau, WI 54403-1220 |
Other providers in Wausau
-
Dr. Paul Scott Lewis, DDS
2620 Stewart Ave Ste 216, Wausau, WI 54401-4170 · (715) 842-3506
-
Susan Stacker DDS SC
1220 6th St, Wausau, WI 54403-3550 · (715) 845-7759