Individual
BRADLEY BERTRAM MORGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11904 W NORTH AVE STE 105, WAUWATOSA, WI 53226-2062
(414) 454-0700
Mailing address
11056 W DERBY AVE, WAUWATOSA, WI 53225-4452
(920) 428-2848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002300
WI
Other
Enumeration date
03/24/2020
Last updated
01/26/2022
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