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Individual
DR. BRADLEY ALAN MELHUS
Active
Individual
DR. BRADLEY ALAN MELHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08818
IA
122300000X
Dentist
6440-15
WI
Other
Enumeration date
07/23/2009
Last updated
07/07/2011
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