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Organization
BROTKOWSKI ACQUISITIONS LLC
Active
Organization
BROTKOWSKI ACQUISITIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE BROTKOWSKI (DDS,MD)
(847) 612-3407
Entity
Organization
Contact information
Practice address
3000 WESTHILL DR STE 301, WAUSAU, WI 54401-3795
(715) 845-4511
(715) 845-1898
Mailing address
3000 WESTHILL DR STE 301, WAUSAU, WI 54401-3795
(715) 845-4511
(715) 845-1898
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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