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Individual

DR. BRYAN DUSTIN POOLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-8340
(608) 263-0682
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
62433
WI
2085R0202X
Diagnostic Radiology Physician
Primary
62433
WI

Other

Enumeration date
05/09/2012
Last updated
10/25/2022
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