Individual
DR. BRUCE E AGNEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5395 EAST CHERYL PARKWAY, MADISON, WI 53711-5395
(608) 246-4660
(608) 246-4660
Mailing address
5395 EAST CHERYL PARKWAY, MADISON, WI 53711-5395
(608) 276-4660
(608) 276-4660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51117-20
WI
Other
Enumeration date
09/06/2005
Last updated
03/20/2013
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