Douglas Earl Bricker in Beaver Dam - Specialist

Douglas Earl Bricker - NPI 1942280391

Douglas Earl Bricker is a Specialist in Beaver Dam, Wisconsin. Douglas Earl Bricker practices all healthcare services and medical treatments related to Specialist. The NPI Number for Douglas Earl Bricker is 1942280391. The last update date is 2007-07-08.

Douglas Earl Bricker's current location address is 116 Monroe St, Beaver Dam, Wisconsin. You can contact this provider via phone number 9208871153 and fax number 9208871044. The mailing address for Douglas Earl Bricker is 116 Monroe St, Beaver Dam, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas Earl Bricker
Address 116 Monroe St, Beaver Dam, Wisconsin
Phone Number 9208871153
Fax Number 9208871044
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1942280391
Provider Enumeration Date 2006-01-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 116 Monroe St
City Beaver Dam
State Wisconsin (WI)
Post Code 539162437
Phone Number 9208871153
Fax Number 9208871044

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 23627-020
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Douglas Earl Bricker

What is the Douglas Earl Bricker's 1942280391?

The Douglas Earl Bricker's NPI (National Provider Identifier) Number is 1942280391. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Douglas Earl Bricker is located?

The Douglas Earl Bricker is situated at the following address: 116 Monroe St, Beaver Dam, WI, 539162437.

What is the Douglas Earl Bricker's specialty and taxonomy code?

The Douglas Earl Bricker's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1942280391 to Douglas Earl Bricker?

The Centers for Medicare & Medicaid Services assigned the 1942280391 to Douglas Earl Bricker on 2006-01-20.

When was the information pertaining to Douglas Earl Bricker most recently updated or revised?

The details related to Douglas Earl Bricker, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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