Individual
DR. BRIAN JOSEPH WALDAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1101 S AIRLINE RD, MOUNT PLEASANT, WI 53406-3888
(262) 637-9371
Mailing address
1101 S AIRLINE RD, MOUNT PLEASANT, WI 53406-3888
(262) 637-9371
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6617
WI
1223G0001X
General Practice Dentistry
D8772
OR
Other
Enumeration date
12/12/2006
Last updated
09/12/2018
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