Individual
THOMAS GERALD BRUCHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3380 S KINNICKINNIC AVE, MILWAUKEE, WI 53207-3159
(414) 482-2090
Mailing address
3380 S KINNICKINNIC AVE, MILWAUKEE, WI 53207-3159
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2492
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33402600
—
WI
Enumeration date
01/23/2008
Last updated
01/23/2008
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