Individual
DR. BRADLEY SCOTT HARLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
106 S WISCONSIN AVE, FREDERIC, WI 54837-0250
(715) 327-8607
(715) 327-4376
Mailing address
PO BOX 250, FREDERIC, WI 54837-0250
(715) 327-8607
(715) 327-4376
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2349015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33390800
—
WI
Enumeration date
09/22/2006
Last updated
07/08/2007
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