Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN STACKER DDS SC
Active OrganizationSUSAN STACKER DDS SC is a Periodontology organization located in WAUSAU, Wisconsin. NPI 1497819585 is currently active in the NPPES registry. Verify at CMS.
Periodontology · WAUSAU, WI
Registration Details
- NPI Number
- 1497819585
- Provider Type
- Organization
- NPI Issued
- Dec 21, 2006 (19.67996018083 yrs)
- Last Updated
- Aug 22, 2020
- License
-
4828 (WI)
Practice Information
- Address
-
1220 6TH STREETWAUSAU, WI, 544033550Browse WI providers · Browse ZIP 54403
- Phone
- 7158457759
- Fax
- 7158454509
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.