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Mason Wistenberg
NPI 1780278283 · on the registry since 2021
Practice
- Address
- 3071 Voyager Dr Ste B
Green Bay, WI 54311 - Phone
- (920) 465-9887
- Organisation at this address
- Voyager Drive Dental, Sc
Voyager Family Dental LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-15
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