Most Relevant Information
Provider Data
| NPI Number: | 1003421272 |
| Provider Name: | PETER JAMES NEBEL DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 1002426 |
Most Important Dates
| Enumeration Date: | 09/14/2020 |
| Last Updated: | 09/14/2020 |
Provider Practice Location
128 OLD ABE RD
LAC DU FLAMBEAU
WI
545389386
Practice Location Phone/Fax
| Phone: | 7155884269 |
| Fax: |
Provider Mailing Location
9790 OLD HIGHWAY 70
MINOCQUA
WI
545488722
Provider Mailing Phone/Fax
| Phone: | 9202072661 |
| Fax: |