Individual
JOSEPH BROSTOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
141 W FRONT ST, PESHTIGO, WI 54157-1421
(715) 582-3601
Mailing address
141 W FRONT ST, PESHTIGO, WI 54157-1421
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60012343-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2023
Last updated
06/29/2023
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