Individual
DR. BRUCE A. FEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2926 S 12TH ST, SHEBOYGAN, WI 53081-6706
(920) 452-1031
(920) 458-2326
Mailing address
2926 S 12TH ST, SHEBOYGAN, WI 53081-6706
(920) 452-1031
(920) 458-2326
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2286
WI
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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