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Individual

DR. MICHAEL BRUINOOGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1003 PEARSON DR, HUDSON, WI 54016-8727
(715) 377-9966
Mailing address
2200 COUNTY ROAD C W STE 2210, ROSEVILLE, MN 55113-2551

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6115
WI
1223G0001X
General Practice Dentistry
D11712
MN

Other

Enumeration date
03/29/2007
Last updated
12/05/2020
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