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Individual

BRYAN J LAUNDRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2000 E LAYTON AVE, ST FRANCIS, WI 53235-6053
(414) 744-6589
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
47965
MN
2085R0202X
Diagnostic Radiology Physician
Primary
53793
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35236800
WI
05
907692100
MN
05
ENROLLED
IA
01
P00785321
RAILROAD MEDICARE
MN
Enumeration date
01/18/2006
Last updated
10/31/2023
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