| Stanley E Brown DDS SC | |
|
705 Fifth Ave Antigo WI 54409 | |
| (715) 623-5331 | |
| (715) 627-1852 |
| Full Name | Stanley E Brown DDS SC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 705 Fifth Ave, Antigo, Wisconsin |
| Authorized Official Name and Position | Stanley E Brown (OWNER PRESIDENT) |
| Authorized Official Contact | 7156235331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley E Brown DDS SC 705 Fifth Ave Antigo WI 54409 Ph: (715) 623-5331 | Stanley E Brown DDS SC 705 Fifth Ave Antigo WI 54409 Ph: (715) 623-5331 |
| NPI Number | 1629190863 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629190863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5020015 (Wisconsin) | Primary |
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