person
Dr. Susan Stacker
Periodontist in Wausau, Wisconsin
NPI 1306903786

Susan Stacker is a Periodontist based in Wausau, WI and is specialized in Periodontics. Susan Stacker practices in Wausau, WI. The NPI Number for Susan Stacker is 1306903786 and holds a License No. 4828 (Wisconsin).

The current practice location address for Susan Stacker is 1220 N 6 Street, Wausau, WI and can be reached out via phone at 715-845-7759 and via fax at 715-845-4509.

Location: 1220 N 6 Street, Wausau, WI, 54403-1220
person
Provider Profile Details
NPI Number
1306903786
Provider Name
Susan Stacker
Credential
Provider Entity Type
Individual
Gender
Female
Address
1220 N 6 Street, Wausau, WI, 54403-1220
Phone Number
715-845-7759
Fax Number
715-845-4509
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1220 N 6 Street
City
State
Zip
54401-1220
Phone Number
715-845-7759
Fax Number
715-845-4509
person
Provider Business Mailing Address Details
Address
1220 N 6 Street
City
State
Zip
54401-1220
Phone Number
715-845-7759
Fax Number
715-845-4509
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
4828 (Illinois)
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 structures and tissues.
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