Individual
BRENT ALLEN FUERBRINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 N SUPERIOR AVE, TOMAH, WI 54660
(608) 372-4111
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1103
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2015
Last updated
07/31/2018
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