Individual
DR. ROBERT C BRUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5402 MINERAL POINT ROAD, SUITE 1, MADISON, WI 53705-4659
(608) 231-2863
(608) 231-2974
Mailing address
5402 MINERAL POINT ROAD, SUITE 1, MADISON, WI 53705-4659
(608) 231-2863
(608) 231-2974
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5001006015
LICENSE TO PRACTICE
WI
Enumeration date
08/31/2006
Last updated
07/08/2007
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