NPI 1003824525

Heather Rose Reyerson, DDS

Practitioner Dentist La Crosse, WI

Practice location

Address: 2505 Loomis St, La Crosse, WI 54603-1973
Phone: (608) 779-4313
Mailing address: 2030 7th St S, La Crosse, WI 54601-5202

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 5256-015 (WI)

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Registry record

NPI: 1003824525
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.