Healthcare Provider Details

I. General information

NPI: 1750805925
Provider Name (Legal Business Name): APRIL MARIE BUHR RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2017
Last Update Date: 07/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 BUFFALO ST
MANITOWOC WI
54220-6817
US

IV. Provider business mailing address

PO BOX 959
SHEBOYGAN WI
53082-0959
US

V. Phone/Fax

Practice location:
  • Phone: 920-686-2333
  • Fax: 920-686-2334
Mailing address:
  • Phone: 920-783-6633
  • Fax: 920-783-6392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number4429
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: