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Individual

DR. BRAD A HARTJES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1001 N GAMMON RD, SUITE 2, MIDDLETON, WI 53562-3874
(608) 836-5600
(608) 836-4589
Mailing address
1001 N GAMMON RD, SUITE 2, MIDDLETON, WI 53562-3874
(608) 836-5600
(608) 836-4589

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2835
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33431600
WI
Enumeration date
11/20/2006
Last updated
07/09/2007
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