Individual
BRIAN FICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
621 S PARK ST, MADISON, WI 53715-1827
(608) 251-3535
Mailing address
925 N MAIN ST, VERONA, WI 53593-1913
(608) 848-2700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4523
WI
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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