John Walter Brauer DDS

NPI 1629190350 - Dentist - 1223G0001X

NPI Details
NPI 1629190350
Gender Male
Enumeration Date 04/04/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
115 FOREST ST
WAUSAU WI, 54403-5504, US
Phone (715) 845-6836
Fax (715) 842-2041
Business Location
115 FOREST ST
WAUSAU WI, 54403-5504, US
Phone (715) 845-6836
Fax (715) 842-2041
Toxanomy
Taxonomy Code 1223G0001X
License State Wisconsin
License Number 3619
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According to our database, Dr. John Walter Brauer DDS NPI is 1629190350, taxonomy code is 1223G0001X and license number is 3619, license state is located at Wisconsin. John Walter Brauer DDS physically located at 115 Forest St, Wausau WI, 54403-5504. NPI Number John Walter Brauer DDS has the Individual type.

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1629190350 NPI number is provided on an as is basis without warranty of any kind. 1629190350 is maintained by the National Plan & Provider Enumeration System. The contents of John Walter Brauer DDS are for informational purposes only.