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Individual

BRIAN JOSEPH EGGENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RTR

Contact information

Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3500
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
478634
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
478634
AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS
Enumeration date
04/17/2020
Last updated
04/17/2020
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