Individual
DR. BRIAN UDERMANN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
1725 STATE ST, LA CROSSE, WI 54601-3742
(608) 785-8181
Mailing address
619 HERMAN CT, ONALASKA, WI 54650-2421
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
0000504-039
WI
Other
Enumeration date
05/06/2006
Last updated
07/08/2007
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