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Contact Information

CHRISTINE A LIESEN, DDS
1105 4TH AVE
WOODRUFF, WI54568
 Phone: 715-356-3474
 Fax: 715-358-5145
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for CHRISTINE A LIESEN · (Female)

NPI # 1104964998
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/02/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 3843
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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