Individual
LUKE BJORKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 GROVE ST, EAGLE, WI 53119-2249
(262) 594-2223
Mailing address
630 N VEL R PHILLIPS AVE UNIT 619, MILWAUKEE, WI 53203-2809
(608) 963-6219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002544-15
WI
Other
Enumeration date
04/09/2021
Last updated
02/16/2022
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