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Individual

DR. BRADY ROBERT DORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
888 THACKERAY TRL, SUITE 210, OCONOMOWOC, WI 53066-4342
(262) 560-9600
(262) 560-9599
Mailing address
888 THACKERAY TRL, SUITE 210, OCONOMOWOC, WI 53066-4342
(262) 560-9600
(262) 560-9599

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3622012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38933600
WI
Enumeration date
01/17/2007
Last updated
01/09/2025
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