Individual
MR. BRIAN J EGGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
27610-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27610-020
LICENSE
WI
05
—
42194800
—
WI
Enumeration date
09/14/2006
Last updated
11/30/2011
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