Individual
BRADLEY WEIMERSKIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 WALL ST, EAST DUBUQUE, IL 61025
(815) 747-2263
Mailing address
406 WALL ST, EAST DUBUQUE, IL 61025-1432
(815) 747-2263
(815) 747-2265
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.031709
IL
Other
Enumeration date
06/08/2018
Last updated
06/10/2018
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