Individual
DR. BROOKE LOUISE NYGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
820 ARBUTUS AVE, OCONTO, WI 54153-2004
(920) 516-7107
Mailing address
820 ARBUTUS AVE, OCONTO, WI 54153-2004
(920) 516-7107
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN-DEN-LIC-23658
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2022
Last updated
07/08/2024
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