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Individual

BRUCE FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APNP

Contact information

Practice address
278 N MAIN ST, THIENSVILLE, WI 53092
(866) 825-3227
(484) 450-2617
Mailing address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(262) 646-4411
(262) 646-1049

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3236-033
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3236-33
WI

Other

Enumeration date
11/08/2007
Last updated
12/12/2016
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