Individual
MR. LOUIS STANLEY BRYSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 267-6500
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 267-6500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5210
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33760100
—
WI
Enumeration date
02/02/2006
Last updated
07/08/2007
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