Individual
BRIAN DANIEL SPERBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1112 LINCOLN ST, KEWAUNEE, WI 54216-1602
(920) 388-5200
Mailing address
1112 LINCOLN ST, KEWAUNEE, WI 54216-1602
(920) 388-5200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7073-15
WI
Other
Enumeration date
03/22/2013
Last updated
06/12/2013
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