Individual
TAYLOR BRUHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9547 LAKEVIEW DRIVE, MINOCQUA, WI 54548
(715) 356-7330
Mailing address
PO BOX 200, MINOCQUA, WI 54548-0200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1063153245
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
09/20/2022
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