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Individual

BRYAN HARTLAND LASSNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 887-6606
Mailing address
2812 S DELAWARE AVE, MILWAUKEE, WI 53207-2515
(503) 740-2391

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
336098920
IL
207P00000X
Emergency Medicine Physician
Primary
75454-20
WI

Other

Enumeration date
04/03/2012
Last updated
07/03/2025
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