Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN STACKER
ActiveDR. SUSAN STACKER is a Periodontology healthcare provider located in WAUSAU, Wisconsin. NPI 1306903786 is currently active in the NPPES registry. Verify at CMS.
Periodontology · WAUSAU, WI
Registration Details
- NPI Number
- 1306903786
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 3, 2007 (19.631159155579 yrs)
- Last Updated
- Mar 4, 2014
- Licenses
-
4828 (IL)4828 (WI)
Practice Information
- Address
-
1220 N 6 STREETWAUSAU, WI, 544011220Browse WI providers · Browse ZIP 54401
- Phone
- 7158457759
- Fax
- 7158454509
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in WAUSAU, WI
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL SCOTT LEWIS | D.D.S. | 1033211743 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.