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Individual

DOUGLAS EARL BRICKER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
116 MONROE ST, BEAVER DAM, WI 53916-2437
(920) 887-1153
(920) 887-1044
Mailing address
116 MONROE ST, BEAVER DAM, WI 53916-2437
(920) 887-1153
(920) 887-1044

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23627-020
WI

Other

Enumeration date
01/20/2006
Last updated
07/08/2007
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