Alicia Marie Bruder LMT

NPI 1487066338 - Contractor - 171W00000X

NPI Details
NPI 1487066338
Gender Female
Enumeration Date 05/27/2014
Last Updated 05/27/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
219 RIVER AVE S
PRAIRIE FARM WI, 54762-9786, US
Phone (715) 455-1166
Fax
Business Location
219 RIVER AVE S
P.O. BOX 65
PRAIRIE FARM WI, 54762-9786, US
Phone (715) 455-1166
Fax
Toxanomy
Taxonomy Code 171W00000X
License State Wisconsin
License Number 12453-146
Remove 1487066338 NPI Number
 

According to our database, Mrs. Alicia Marie Bruder LMT NPI is 1487066338, taxonomy code is 171W00000X and license number is 12453-146, license state is located at Wisconsin. Alicia Marie Bruder LMT physically located at 219 River Ave S, Prairie Farm WI, 54762-9786. NPI Number Alicia Marie Bruder LMT has the Individual type.

Sponsored links

1487066338 NPI number is provided on an as is basis without warranty of any kind. 1487066338 is maintained by the National Plan & Provider Enumeration System. The contents of Alicia Marie Bruder LMT are for informational purposes only.