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Individual

DR. BRADLEY P DONNERMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
873 N CASALOMA DR, APPLETON, WI 54913-8606
(920) 734-2400
(920) 734-2100
Mailing address
873 N CASALOMA DR, APPLETON, WI 54913-8606
(920) 734-2400
(920) 734-2100

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3844 012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38939500
WI
Enumeration date
08/30/2006
Last updated
09/27/2011
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