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Individual

BRYCE JORDAN AUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
608 W BROWN ST, WAUPUN, WI 53963-1788
(920) 926-8472
Mailing address
608 W BROWN ST, WAUPUN, WI 53963-1788
(920) 926-8472

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29273
MN
207W00000X
Ophthalmology Physician
65796
MN
207W00000X
Ophthalmology Physician
Primary
81408-20
WI

Other

Enumeration date
04/19/2018
Last updated
01/10/2024
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