Individual
DR. BRUCE G HARTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D,S.
Contact information
Practice address
901 W WINNEBAGO ST, SUITE LL-01, MILWAUKEE, WI 53205
(414) 477-0752
Mailing address
901 W WINNEBAGO ST, SUITE LL-01, MILWAUKEE, WI 53205
(414) 477-0752
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001610-015
WI
Other
Enumeration date
10/30/2007
Last updated
05/10/2009
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