Individual
BRICE ALVORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5730
(920) 361-5519
Mailing address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5730
(920) 361-5519
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
62736-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679734669
—
WI
Enumeration date
06/23/2008
Last updated
10/24/2014
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