Individual
BRUCE L. KLINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13850 W CAPITOL DR, BROOKFIELD, WI 53005-2422
(262) 790-1118
(262) 790-2070
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20842
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30010200
—
WI
01
—
P00452794
RR MEDICARE
WI
Enumeration date
07/11/2006
Last updated
03/28/2008
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