Individual
BRIAN J DUDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
S74 W16775 JANESVILLE ROAD, MUSKEGO, WI 53150-7742
(414) 422-2180
(414) 422-2185
Mailing address
100 - 15TH AVENUE, STE 180, SOUTH MILWAUKEE, WI 53172-1160
(414) 768-5430
(414) 762-4225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39036
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32430300
—
WI
Enumeration date
11/01/2006
Last updated
09/27/2023
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