Organization
DRS. ANDERSON & DURTSCHE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY BREKKE DURTSCHE D.D.S. (PRESIDENT)
(608) 784-7319
Entity
Organization
Contact information
Practice address
615 10TH ST S, LA CROSSE, WI 54601-4768
(608) 784-7319
(608) 784-4384
Mailing address
615 10TH ST S, LA CROSSE, WI 54601-4768
(608) 784-7319
(608) 784-4384
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2244
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33388200(PERFORMING)
—
WI
05
—
38365100 (BILLING #)
—
WI
Enumeration date
05/17/2006
Last updated
08/22/2020
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