Search › Wisconsin › 122300000X
Larry Nillissen, DDS
NPI 1518121284 · on the registry since 2008
Practice
- Address
- 409a Main St
Birnamwood, WI 54414 - Phone
- (715) 449-3345
- Fax
- (715) 449-3272
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-07-11
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