John Walter Brauer in Wausau - General Practice

John Walter Brauer - NPI 1629190350

John Walter Brauer is a General Practice in Wausau, Wisconsin. John Walter Brauer practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Walter Brauer is 1629190350. The last update date is 2007-07-08.

John Walter Brauer's current location address is 115 Forest St, Wausau, Wisconsin. You can contact this provider via phone number 7158456836 and fax number 7158422041. The mailing address for John Walter Brauer is 115 Forest St, Wausau, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name John Walter Brauer
Address 115 Forest St, Wausau, Wisconsin
Phone Number 7158456836
Fax Number 7158422041
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1629190350
Provider Enumeration Date 2007-04-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 115 Forest St
City Wausau
State Wisconsin (WI)
Post Code 544035504
Phone Number 7158456836
Fax Number 7158422041

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3619
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about John Walter Brauer

What is the unique provider identifier assigned to John Walter Brauer?

The John Walter Brauer has been issued the NPI (National Provider Identifier) 1629190350 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of John Walter Brauer?

The John Walter Brauer is situated at 115 Forest St, in the city of Wausau, state of WI, with the zip code 544035504.

What is the area of specialization for John Walter Brauer, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John Walter Brauer is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the John Walter Brauer receive the assignment of its 1629190350 from the Centers for Medicare & Medicaid Services?

The John Walter Brauer was issued its 1629190350 by the Centers for Medicare & Medicaid Services on 2007-04-04.

As of what date were the details related to John Walter Brauer most recently updated or revised?

The information pertaining to John Walter Brauer, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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