Individual
MR. BRYAN EDWARD PIECHOCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
104 BROOKVIEW PL, COMBINED LOCKS, WI 54113-1200
(920) 585-5256
Mailing address
104 BROOKVIEW PL, COMBINED LOCKS, WI 54113-1200
(920) 585-5256
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
177451-030
WI
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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