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Search › Wisconsin › 1223G0001X

Gary Stafford, DMD

NPI 1215082839 · on the registry since 2007 · sole proprietor

Practice

Address
1801 W Wisconsin Ave
Rm 336a
Milwaukee, WI 53233
Phone
(414) 288-5409
Organisation at this address
Marquette University
Marquette University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
142

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin